Individual
COREY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9554 CRENSHAW CIR, CLERMONT, FL 34711-5391
(407) 621-1908
Mailing address
9554 CRENSHAW CIR, CLERMONT, FL 34711-5391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9417154
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019609
FL
Other
Enumeration date
05/17/2020
Last updated
05/15/2022
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