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Individual

COLLEEN BEMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1717 S ORANGE AVE, STE 100, ORLANDO, FL 32806-4946
(407) 650-7715
(407) 650-7124
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9346220
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
'008219000
FL
Enumeration date
10/17/2012
Last updated
05/13/2015
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