Healthcare Provider Details

I. General information

NPI: 1134824980
Provider Name (Legal Business Name): RHONNIE GEYROZAGA CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 TRAFALGAR CT STE 200E
MAITLAND FL
32751-7420
US

IV. Provider business mailing address

575 WOODFIRE WAY
CASSELBERRY FL
32707-5108
US

V. Phone/Fax

Practice location:
  • Phone: 888-339-8727
  • Fax:
Mailing address:
  • Phone: 808-352-8616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number76568
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number10050612
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11026488
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9451420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: