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Individual

MARY-CHARLOTTE BARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1388
(727) 825-1100
Mailing address
756 16TH AVE N, ST PETERSBURG, FL 33704-3338
(614) 226-3040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9356497
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11007185
FL

Other

Enumeration date
05/14/2020
Last updated
06/30/2020
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