Individual provider · NPI-1

Manuel A. Bermudez, AA-C

Anesthesiologist Assistant · Tallahassee, FL

NPI number1609159516
StatusActive
Last updated in NPPESSep 27, 2011

Details

NPI
1609159516
Entity type
Individual (NPI-1)
Name
Manuel A. Bermudez
Credential
AA-C
Sex
Male
Sole proprietor
No
Enumeration date
Sep 27, 2011
Last updated
Sep 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist AssistantAA104FLYes

Practice location

2173 Centerville Pl Ste A
Tallahassee, FL 32308-8303

Phone 850-385-0144

Mailing address

Po Box 452198
Sunrise, FL 33345-2198

Phone 954-838-2371 · Fax 954-851-1746

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