Healthcare Provider Details

I. General information

NPI: 1821049438
Provider Name (Legal Business Name): ROSARIO BURNS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD ANESTHESIA DEPARTMENT
MIAMI BEACH FL
33140-2800
US

IV. Provider business mailing address

PO BOX 816759
HOLLYWOOD FL
33081-0759
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2345
  • Fax: 954-964-6084
Mailing address:
  • Phone: 954-964-2450
  • Fax: 954-964-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP 1717302
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: