Individual
AMBILI GOPINATHAN NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6216 MORNING DRIVE, PORT ORANGE, FL 32127
(203) 807-0178
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9367002
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP9367002
FL
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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