MEDICARE: ROBERT ONGRADY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	ARNP3240572	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033178850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ONGRADY CRNA

Provider Business Mailing Address
First Line	:	7154 N UNIVERSITY DR # 316
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2916
Country	:	US
Telephone Number	:	954-720-3188
Fax Number	:	954-586-2589

Provider Business Practice Location Address
First Line	:	4485 N STATE ROAD 7
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5876
Country	:	US
Telephone Number	:	954-720-3188
Fax Number	:	954-586-2589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	01/27/2020

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Directions to “ ROBERT ONGRADY CRNA” Practice Location

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