Healthcare Provider Details

I. General information

NPI: 1164481271
Provider Name (Legal Business Name): LORI ANN ZIBELL-MCGARRY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 07/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SOUTH ANDREWS AVENUE C/O BROWARD GENERAL MEDICAL CENTER
FORT LAUDERDALE FL
33316
US

IV. Provider business mailing address

3601 W COMMERCIAL BLVD STE 5 C/O ANESCO NORTH BROWARD LLC
FORT LAUDERDALE FL
33309-3392
US

V. Phone/Fax

Practice location:
  • Phone: 954-355-4400
  • Fax:
Mailing address:
  • Phone: 954-485-5666
  • Fax: 954-484-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2012682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: