KGC CRNA LLC
Nursing at Cappio Dr, Melbourne, FL

License number
Florida ARNP 9217913
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Owner
Name: KANDEE GEORGETTE COPPALA CRNA
Title: MANAGER/OWNER
Phone: (321) 759-4460
Address
Address
3337 Cappio Dr, Melbourne, FL 32940
National Provider ID: 1609215730
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KGC CRNA LLC at bizstanding.com

KGC CRNA LLC

Melbourne, FL

Industry:
Business Services at Non-Commercial Site, Health Practitioner's Office, Nonclassifiable Establishments
Registration:
Jun 12, 2013
Addresses:
3337 Cappio Dr, Melbourne, FL 32940 (Physical)
Melbourne, FL 32941 (Mailing)
State ID:
L13000085174
Business type:
Florida Limited Liability Company
Manager:
Kandee G Coppala (Manager), 3337 Cappio Dr, Melbourne, FL 32940 (Physical)
Agent:
Kandee Coppala,3337 Cappio Dr, Melbourne, FL 32940 (Physical)
EIN:
46-2977173

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