Individual
KIMBERLY A MAKUTA-MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(813) 830-1103
Mailing address
12479 JAYBIRD RD, WEEKI WACHEE, FL 34614-3293
(570) 293-2197
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN11018838
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN597893
PA
Other
Enumeration date
12/31/2013
Last updated
03/12/2024
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