Individual
GERALDINE SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
(352) 867-8898
(352) 732-6282
Mailing address
301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
(317) 614-9863
(844) 876-0873
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9211617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30614850
—
FL
01
—
G3456
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/03/2006
Last updated
08/23/2018
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