Leo Gendron, CRNA
Nurse Anesthetist, Certified Registered in Tampa, FL. Individual provider (NPI-1).
NPI number1033201280
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1033201280
- Entity type
- Individual (NPI-1)
- Name
- Leo Gendron
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP1603702 | FL | Yes |
Practice location
7171 N Dale Mabry HwyTampa, FL 33614-2630
Phone 352-867-8898 · Fax 352-732-6282
Mailing address
Po Box 862810Orlando, FL 32886-2810
Phone 352-867-8898 · Fax 352-732-6282
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