Individual
NIEL HORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 FULL MOON LN, SANTA ROSA BEACH, FL 32459-2926
(901) 219-6858
Mailing address
39 FULL MOON LN, SANTA ROSA BEACH, FL 32459-2926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9355838
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9355838
FL
Other
Enumeration date
12/26/2016
Last updated
03/09/2017
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