Individual
FREDERICK ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
421 SE OSCEOLA ST, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Mailing address
421 SE OSCEOLA ST, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3108022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307900700
—
FL
01
—
G2750
BCBS OF FLORIDA
FL
Enumeration date
08/12/2006
Last updated
07/28/2008
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