Individual
TANNER KREUZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 273-8610
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA406
FL
367H00000X
Anesthesiologist Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022389800
—
FL
Enumeration date
05/11/2017
Last updated
03/22/2018
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