Individual
MAXIMILIAN GERHARD CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CCRN, CRNA
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(877) 463-2010
Mailing address
1405 LONE PINE DR, FORT PIERCE, FL 34982-3344
(727) 418-6644
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11026244
FL
390200000X
Student in an Organized Health Care Education/Training Program
RN9432879
FL
Other
Enumeration date
04/07/2021
Last updated
06/30/2023
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