Individual
DEAN T PAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3075 W GULF TO LAKE HWY, LECANTO, FL 34461-9228
(352) 527-0102
Mailing address
5266 S STETSON POINT DR, HOMOSASSA, FL 34448-3757
(352) 634-2012
(352) 503-7301
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1276032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034463000
—
FL
01
—
G0609
BLUE SHIELD PROV #
FL
Enumeration date
04/10/2006
Last updated
07/21/2022
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