Individual
CRAIG WILLIAM HANTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 34TH AVE N., #7266, ST. PETERSBURG, FL 33704
(727) 203-5114
Mailing address
901 34TH AVE N., #7266, ST. PETERSBURG, FL 33704
(727) 203-5114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9175080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312200000
MEDICIAD
FL
01
—
G4274
BCBS
FL
Enumeration date
06/11/2007
Last updated
03/22/2023
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