Individual
MICHAEL D PALSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 S HIGHLANDS AVE, SEBRING, FL 33870-5418
(863) 382-7500
Mailing address
1497 W AVON BLVD, AVON PARK, FL 33825-9511
(863) 453-0419
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN1705052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311532100
—
FL
01
—
430071338
RAILROAD MEDICARE
FL
01
—
G1981X
BX OF FL - NON PAR
FL
Enumeration date
06/22/2005
Last updated
01/08/2015
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