Individual
JOHN THOMAS CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6201 N SUNCOAST BLVD, C/O SEVEN RIVERS REGIONAL, CRYSTAL RIVER, FL 34428
(352) 795-4008
(352) 795-9041
Mailing address
PO BOX 742318, ATLANTA, GA 30374-2318
(352) 867-8898
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP881782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301877600
—
FL
Enumeration date
08/01/2006
Last updated
12/11/2013
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