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Individual

MR. BRANDON ZAGST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1242 CIELO CT, NORTH VENICE, FL 34275-2228
(724) 799-1332
Mailing address
1242 CIELO CT, NORTH VENICE, FL 34275-2228
(724) 799-1332

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11002273
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101324070
PA
05
102923500
FL
Enumeration date
02/27/2006
Last updated
02/04/2025
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