Individual
MAURY GLENN BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 W GUAVA ST, LADY LAKE, FL 32159-1701
(352) 391-5875
Mailing address
357 E 6TH AVE, MOUNT DORA, FL 32757-5627
(337) 288-4912
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 9298677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001689300
—
FL
Enumeration date
02/09/2007
Last updated
05/20/2016
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