Healthcare Provider Details

I. General information

NPI: 1073809208
Provider Name (Legal Business Name): WILLIAM HAROLD LAYTON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 US HIGHWAY 301 S
RIVERVIEW FL
33578-6300
US

IV. Provider business mailing address

9320 US HIGHWAY 301 S
RIVERVIEW FL
33578-6300
US

V. Phone/Fax

Practice location:
  • Phone: 813-471-0000
  • Fax:
Mailing address:
  • Phone: 813-471-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number087645
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9264598
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number642966
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9264598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: