Individual
MR. DOUGLAS JAMES DESZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
75 E 5TH CT, GREENVILLE, FL 32331-5201
(850) 673-1001
(850) 997-6076
Mailing address
PO BOX 286, MONTICELLO, FL 32345-0286
(850) 673-1001
(850) 997-6076
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1453122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304031300
—
FL
Enumeration date
02/01/2006
Last updated
05/12/2008
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