Individual
ALLEN G BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4519 GEORGE RD, STE 100, TAMPA, FL 33634-7329
(813) 496-1075
Mailing address
3028 PARKWOOD RD, SEBRING, FL 33872-2970
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9271288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291413100
—
FL
01
—
E0949
BCBS
FL
Enumeration date
07/26/2006
Last updated
04/24/2020
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