Individual
MR. DAMON RANDOLPH WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4101
Mailing address
8601 SW 68TH CT APT 5, MIAMI, FL 33143-7832
(504) 621-5446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9373461
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9373461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9373461
ARNP
FL
Enumeration date
07/07/2017
Last updated
04/21/2026
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