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Individual

NENITA M GO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
801 S OLIVE AVE, SUITE 215, WEST PALM BEACH, FL 33401-6120
(561) 371-8639
Mailing address
801 S OLIVE AVE, SUITE 215, WEST PALM BEACH, FL 33401-6120
(561) 835-1155

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
268790
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1145112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301418500
FL
01
430074238
RR MEDICARE
FL
01
G1924
BCBS OF FLORIDA
FL
Enumeration date
02/16/2006
Last updated
08/18/2011
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