Individual
KIOMARY CABAN-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 596-6632
Mailing address
1911 MEADOW DR, CLEARWATER, FL 33763-4522
(939) 642-5681
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
38433
PR
367500000X
Certified Registered Nurse Anesthetist
697518
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
9469923
FL
Other
Enumeration date
08/17/2017
Last updated
12/09/2018
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