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Individual

MR. GARY SCOTT FELDMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2275 N CENTRAL AVE, KISSIMMEE, FL 34741-2342
(407) 870-0573
(407) 870-1859
Mailing address
2275 N CENTRAL AVE, KISSIMMEE, FL 34741-2342
(407) 870-0573
(407) 870-1859

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1742502
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300359100
FL
01
G2510
BCBS
FL
Enumeration date
07/08/2006
Last updated
11/01/2022
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