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WILLIAM MARK BOUDREAU CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1508801853

Individual Registrant:
 WILLIAM MARK BOUDREAU CRNA
Gender: M
Sole Proprietor

Location and contact information for practice:
43309 US HIGHWAY 19 N  TARPON SPRINGS, FL 34689-6221 US
Tel: 727-943-3111  Fax: 727-943-3334

Contact information for business:
43309 US HIGHWAY 19 N  TARPON SPRINGS, FL 34689-6221 US
Tel: 727-943-3111  Fax: 727-943-3334

Registration Information:
NPI: 1508801853
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
FLARNP1508292

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBSG0082FL01
033916400FL05




HEALTH CARE JOBS FL - Page 1



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