Organization
PALMETTO ANESTHESIA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY BUSE CRNA (PRESIDENT)
(321) 728-2108
Entity
Organization
Contact information
Practice address
405 HIAWATHA WAY, MELBOURNE BEACH, FL 32951-3539
(321) 728-2108
Mailing address
405 HIAWATHA WAY, MELBOURNE BEACH, FL 32951-3539
(321) 728-2108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
035105
FL
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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