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Contact Information

INSTITUTE OF MEDICAL EXCELLENCE
101 MICROSPINE WAY
DEFUNIAK SPRINGS, FL32435
 Phone: 850-892-4248
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Nurse Anesthetist, Certified Registered

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

NPI Profile & details for INSTITUTE OF MEDICAL EXCELLENCE · (Female)

NPI # 1770818601
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2009
Last updated 10/09/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ARNP2539562
  • FL License # PO2112
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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