Individual
BRENT WINDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195543
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11009273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
08/04/2020
Last updated
08/20/2021
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