Gerald Derise, CRNA
NPI #1720025935 in Winter Haven, Florida
Provider Information
- NPI Number
- 1720025935
- Entity Type
- Individual
- Name
- Gerald Derise, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 31, 2006
- Last Updated
- May 24, 2010
Practice Location
- Address
- 325 AVENUE B NW
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-4651
- Phone
- (863) 291-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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