Individual
CECILY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4048 EVANS AVE, #303, FORT MYERS, FL 33901-9322
(407) 667-0444
Mailing address
4048 EVANS AVE, #303, FORT MYERS, FL 33901-9322
(407) 667-0444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9325171
FL
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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