Individual
MR. EDWIN YANUL DISLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
11921 NAUTICA DR, ORLANDO, FL 32827-7119
(321) 278-8848
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN3089142
FL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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