Individual
EVELYN KLEIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4048 EVANS AVE, STE 303, FORT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Mailing address
851 TRAFALGAR CT, STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9192039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308210500
—
FL
01
—
G4201
BSFL
FL
Enumeration date
11/01/2006
Last updated
01/10/2019
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