Healthcare Provider Details

I. General information

NPI: 1255595245
Provider Name (Legal Business Name): HELGA V. RONCO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 12/22/2019
Certification Date: 12/22/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

3968 JOURNEY CT
CASSELBERRY FL
32707-5255
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-6611
  • Fax:
Mailing address:
  • Phone: 352-223-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9212604
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: