Individual
MS. GEORGIA MY VONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1395 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3790
(866) 632-7345
Mailing address
PO BOX 862362, ORLANDO, FL 32886-2362
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9179565
FL
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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