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Individual

NEVADA DEAN BEDWELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
13814 BLUEBIRD PARK RD, WINDERMERE, FL 34786-3113
(361) 463-1836
Mailing address
13814 BLUEBIRD PARK RD, WINDERMERE, FL 34786-3113
(361) 463-1836

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2355233
MA
367500000X
Certified Registered Nurse Anesthetist
663860
TX
367500000X
Certified Registered Nurse Anesthetist
9326988
FL

Other

Enumeration date
07/10/2006
Last updated
10/26/2021
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