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NPI Code Detail

MEDICARE: ALLISON ANN GOLDFARB CRNA

MEDICARE:   ALLISON ANN GOLDFARB  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 AnesthetistARNP1612672FL

Other Identifiers

General Provider Information

NPI Number : 1902044696
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ANN GOLDFARB CRNA
Provider Business Mailing Address
First Line : PO BOX 24906
Second Line :
City : MIAMI
State : FL
Zip : 33102-4906
Country : US
Telephone Number : 904-819-4478
Fax Number : 904-819-4933
Provider Business Practice Location Address
First Line : 400 HEALTH PARK BLVD
Second Line : COASTAL ANESTHESIOLOGY CONSULTANTS, P.L.
City : SAINT AUGUSTINE
State : FL
Zip : 32086-5784
Country : US
Telephone Number : 904-819-4478
Fax Number : 904-819-4993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2009
Last Update Date : 06/25/2009

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