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ROGER J BRICAULT CRNA

Nursing Yellow Pages

Tavares, Florida

Provider NPI: 1942318183

Provider Information:
 ROGER J BRICAULT CRNA


Practice Location:
1000 WATERMAN WAY  TAVARES, FL 32778 US
Tel: 352-253-3333  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
FLARNP556152

Other Provider Identifiers:

IssuerNumberStateType
034254800FL05
BC BSG0576FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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