Cleveland-Peck, Christian Michael

Cleveland-Peck, Christian Michael is an individual health care provider with primary practice located at 531 24Th Ave N , St Petersburg FL 33704-2817. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cleveland-Peck, Christian Michael can be contacted via phone (727) 821-5292.

Contact Information

Primary practice address
531 24Th Ave N St Petersburg FL 33704-2817
Phone: (727) 821-5292
Fax: (727) 821-5292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 3169412 Florida

Profile Details

NPI number 1114913662
LBN Legal business name Cleveland-Peck, Christian Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Aug 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114913662 NPPES
Florida MEDICAID 304609500
Florida Other G3186

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