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GERALD SAMUEL PAVANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4600 N DAVIS HWY, PENSACOLA, FL 32503-2337
(850) 494-0048
(850) 494-0065
Mailing address
2934 ALBATROSS DR, NAVARRE, FL 32566-9045
(850) 939-8078

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9213967
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G3583
BCBS
FL
01
P00246402
RAILROAD MEDICARE
FL
Enumeration date
05/01/2007
Last updated
07/08/2007
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