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Individual

MR. JOHN E NAWALANIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, MS

Contact information

Practice address
2120 NW 107TH TER, SUNRISE, FL 33322-3418
(954) 741-0636
(954) 741-0639
Mailing address
2900 NE 23RD PL, POMPANO BEACH, FL 33062-1138
(954) 788-5441
(954) 788-2591

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 1837262
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033633500
FL
Enumeration date
06/12/2006
Last updated
09/23/2010
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