Individual
JUSTIN MATTHEW COURNOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(252) 671-6663
Mailing address
1415 7TH AVE N, ST PETERSBURG, FL 33705-1313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9420507
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11005405
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105565700
—
FL
Enumeration date
12/05/2019
Last updated
02/13/2026
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