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Individual

MICHAEL D PALSGROVE

Active
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Individual

MICHAEL D PALSGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

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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