Organization
ANTEBELLUM ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA RENA BROWN DNAP, CRNA (OWNER)
(850) 896-8799
Entity
Organization
Contact information
Practice address
202 DOCTORS DR, PANAMA CITY, FL 32405-4454
(850) 896-8799
Mailing address
653 W 23RD ST, #284, PANAMA CITY, FL 32405-3922
(850) 896-8799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9216040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000503500
—
FL
01
—
1235261595
NPI
—
Enumeration date
04/08/2017
Last updated
08/14/2017
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