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NPI Code Detail

MEDICARE: JANET G ERGLE CRNA

MEDICARE: JANET G ERGLE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistARNP815062FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1815062OTHERFLARNP LICENSE
2017632OTHERARNP CERTIFICATION

General Provider Information

NPI Number : 1093751935
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET G ERGLE CRNA
Provider Business Mailing Address
First Line : PO BOX 864165
Second Line :
City : ORLANDO
State : FL
Zip : 32886-4165
Country : US
Telephone Number : 317-614-9863
Fax Number : 844-876-0873
Provider Business Practice Location Address
First Line : 2400 DUNDEE RD
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-1166
Country : US
Telephone Number : 863-293-8471
Fax Number : 866-665-2702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 10/23/2019

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