Individual
MICHAEL PETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 SE HOSPITAL AVE, ANESTHESIA DEPARTMENT, STUART, FL 34994-2346
(772) 286-0338
Mailing address
421 SE OSCEOLA ST # 3, PO BOX 868, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
285765
NY
367500000X
Certified Registered Nurse Anesthetist
ARNP 9263613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308745000
—
FL
01
—
G4381
FLORIDA BCBS
FL
Enumeration date
07/29/2005
Last updated
05/16/2008
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