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Individual

MR. DOUGLAS JAMES RUTKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9610 W PARK VILLAGE DR, TAMPA, FL 33626-5135
(813) 926-4069
Mailing address
9610 W PARK VILLAGE DR, TAMPA, FL 33626-5135
(813) 926-4069

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
522116-01
NY
367500000X
Certified Registered Nurse Anesthetist
AR108092
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9230105
FL
367500000X
Certified Registered Nurse Anesthetist
RN472962
OH
367500000X
Certified Registered Nurse Anesthetist
RN614598
PA

Other

Enumeration date
06/03/2006
Last updated
11/21/2024
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