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Individual

MR. MICHAEL JAMES SENECA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, MSN

Contact information

Practice address
1670 EAGLE HARBOR PKWY STE B, ORANGE PARK, FL 32003-4820
(904) 644-0700
Mailing address
11250 OLD SAINT AUGUSTINE RD, STE 15 #277, JACKSONVILLE, FL 32257-1088

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
004013
CT
367500000X
Certified Registered Nurse Anesthetist
2258055
MA
367500000X
Certified Registered Nurse Anesthetist
604947
PA
367500000X
Certified Registered Nurse Anesthetist
798356
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
9180755
FL

Other

Enumeration date
03/05/2009
Last updated
05/23/2011
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