Mr Robert M Clonan, CRNA | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(800) 642-1999 | |
(248) 646-0361 |
Full Name | Mr Robert M Clonan |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003809237 | NPI | - | NPPES |
300502000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1781882 (Florida) | Primary |
Entity Name | Anesthesia Associates Of Southwest Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881652899 PECOS PAC ID: 6901703982 Enrollment ID: O20031217000738 |
Mailing Address | Practice Location Address |
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Mr Robert M Clonan, CRNA Po Box 918025, Orlando, FL 32891-8025 Ph: (800) 642-1999 | Mr Robert M Clonan, CRNA 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (800) 642-1999 |
William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000 | |
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012 | |
Phyllis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 W. Newberry Road, Gainesville, FL 32605 Phone: 352-333-4180 Fax: 352-333-4861 |