Healthcare Provider Details

I. General information

NPI: 1376093435
Provider Name (Legal Business Name): BRIAN BARZANA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11750 SW 40TH ST
MIAMI FL
33175-3530
US

IV. Provider business mailing address

10160 SW 98TH AVE
MIAMI FL
33176-2820
US

V. Phone/Fax

Practice location:
  • Phone: 305-213-3073
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9304714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: