Individual
MICHAEL ROBERT DAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4669
(941) 792-6611
Mailing address
6435 STONE RIVER RD, BRADENTON, FL 34203-7818
(941) 526-7451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
090884-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
9409550
FL
Other
Enumeration date
10/26/2019
Last updated
04/20/2023
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