Individual
FERNANDA SA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 S MANHATTAN AVE UNIT 2306, TAMPA, FL 33611-3444
(954) 871-8779
Mailing address
5110 S MANHATTAN AVE UNIT 2306, TAMPA, FL 33611-3444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11005539
FL
Other
Enumeration date
11/04/2019
Last updated
02/21/2020
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