Carly Provan, CNA

CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

110 N Lecanto Hwy

Lecanto, FL 344619190

(352) 527-1825

**NPI:** 1003675992

**Med School:** UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE

**Experience:** 1 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (2)

ANESTHESIA DYNAMICS LLC

110 N Lecanto Hwy
Lecanto, FL 344619190

Phone: (352) 527-1825

**Group ID:** 3779832530 | **Group Size:** 615 members

CAPITAL ANESTHESIA SOLUTIONS OF FLORIDA II, LLC

8000 State Rd 64, Suite 205
Bradenton, FL 342127703

Phone: (941) 792-1404

**Group ID:** 7911323720 | **Group Size:** 159 members

HCA FLORIDA BLAKE HOSPITAL Type: Hospital
2020 59TH ST W
Phone: (941) 798-6110
Medicare CCN: 100213 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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