Individual
MAURICE KIOKO NDUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3500 E FLETCHER AVE, TAMPA, FL 33613-4708
(813) 558-6797
Mailing address
13309 CONNERSVILLE BLVD, TAMPA, FL 33617-9318
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1086964
TX
367500000X
Certified Registered Nurse Anesthetist
35762
TN
367500000X
Certified Registered Nurse Anesthetist
APRN11019764
FL
Other
Enumeration date
03/31/2020
Last updated
03/01/2024
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