Individual
COLLIN BODGE RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP, CRNA
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209028820
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
7926
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP9265313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021205100
—
FL
Enumeration date
05/11/2017
Last updated
01/02/2026
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