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Contact Information

KEITH WANDOLOWSKI, CRNA
10000 W COLONIAL DR
OCOEE, FL34761
 Phone: 206-850-9151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for KEITH WANDOLOWSKI · (Male)

NPI Number 1295989929
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/07/2008
Last updated 01/02/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 268405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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