Healthcare Provider Details

I. General information

NPI: 1487855201
Provider Name (Legal Business Name): ROSSANA STELLA BIZZIO ARNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

15800 SW 252ND ST
HOMESTEAD FL
33031-2018
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6586
  • Fax:
Mailing address:
  • Phone: 786-243-8958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2209262
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberARNP2209262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: