Healthcare Provider Details

I. General information

NPI: 1295714228
Provider Name (Legal Business Name): MARTHA MARIA ONER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARTHA MARIA ROWE CRNA

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 S MIAMI AVE
MIAMI FL
33133-4253
US

IV. Provider business mailing address

1600 N. ANDREWS AVE
FORT LAUDERDALE FL
33316
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-4400
  • Fax:
Mailing address:
  • Phone: 954-703-2931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2906892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: