Organization
COWFORD MEDICAL LLC
Active
Organization
COWFORD MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIECE C BREMER (CEO)
(904) 219-7552
Entity
Organization
Contact information
Practice address
1670 EAGLE HARBOR PKWY, FLEMING ISLAND, FL 32003-4820
(904) 644-0700
Mailing address
14114 MAHOGANY AVE, JACKSONVILLE, FL 32258-5513
(904) 219-7552
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
10/08/2024
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