Individual
M ANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7171 N UNIVERSITY DR, #300, TAMARAC, FL 33321-2902
(954) 720-3188
(954) 722-6996
Mailing address
7154 N UNIVERSITY DR, #316, TAMARAC, FL 33321-2916
(954) 720-3188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 1316502
FL
Other
Enumeration date
07/09/2006
Last updated
12/04/2007
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