Individual
ALEXANDER MARTSOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6035 SE 99TH PL, BELLEVIEW, FL 34420-6331
(352) 653-5803
Mailing address
6035 SE 99TH PL, BELLEVIEW, FL 34420-6331
(352) 653-5803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9472860
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11032823
FL
Other
Enumeration date
03/07/2022
Last updated
07/05/2024
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