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Individual

DR. NIKOLA KANKOVA MATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
201 W GUAVA ST, LADY LAKE, FL 32159-1701
(772) 532-8559
Mailing address
810 LAS CRUCES CT, LADY LAKE, FL 32159-5777
(772) 559-7849

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2023013699
MO
367500000X
Certified Registered Nurse Anesthetist
43-558330
KS
367500000X
Certified Registered Nurse Anesthetist
CRNA0024187386
VA
367500000X
Certified Registered Nurse Anesthetist
CRNA10025152
MA
367500000X
Certified Registered Nurse Anesthetist
CRNA1171167
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA3353032
FL

Other

Enumeration date
05/28/2017
Last updated
02/25/2026
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