Individual
JOSEPH L CARONNA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9314550
FL
367500000X
Certified Registered Nurse Anesthetist
RN047503
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002870400
—
FL
05
—
1390976
—
LA
01
—
592-12775
BLUE CROSS BLUE SHIELD
AL
01
—
G00KK
BLUE CROSS BLUE SHIELD
FL
01
—
P00901581
MEDICARE RAILROAD
—
Enumeration date
04/03/2006
Last updated
11/30/2011
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