Petri, Michael

Petri, Michael is an individual health care provider with primary practice located at 200 Se Hospital Ave Anesthesia Department, Stuart FL 34994-2346. 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. Petri, Michael can be contacted via phone (772) 286-0338.

Contact Information

Primary practice address
200 Se Hospital Ave Anesthesia Department Stuart FL 34994-2346
Phone: (772) 286-0338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 285765 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 9263613 Florida

Profile Details

NPI number 1629078878
LBN Legal business name Petri, Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 16th, 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 1629078878 NPPES
Florida Other G4381 FLORIDA BCBS
Florida MEDICAID 308745000 FLORIDA BCBS

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