Individual
MICHAEL R DZIEDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-8202
(352) 265-7906
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(901) 484-8773
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9421579
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11023802
FL
Other
Enumeration date
12/22/2022
Last updated
03/24/2025
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