Individual
MR. IVAN NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6438
(352) 273-8612
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
2025025701
MO
367H00000X
Anesthesiologist Assistant
Primary
AA1179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129732200
—
FL
Enumeration date
03/14/2025
Last updated
01/12/2026
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