Individual
COURTLAND BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-1000
Mailing address
7805 7TH PL, LEHIGH ACRES, FL 33936-2261
(864) 316-7688
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9433360
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11013260
FL
367500000X
Certified Registered Nurse Anesthetist
32611
TN
Other
Enumeration date
02/18/2021
Last updated
12/23/2022
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