MEDICARE: ANTHONY ELEUTERIO MARCHIANO CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	ARNP1703582	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	F2107	OTHER	FL	BCBS OF FL

General Provider Information

NPI Number	:	1063410058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY ELEUTERIO MARCHIANO CRNA

Provider Business Mailing Address
First Line	:	6640 ANCHOR LOOP
Second Line	:	APT 108
City	:	BRADENTON
State	:	FL
Zip	:	34212-4433
Country	:	US
Telephone Number	:	941-567-6926
Fax Number	:	941-567-6926

Provider Business Practice Location Address
First Line	:	6640 ANCHOR LOOP
Second Line	:	APT 108
City	:	BRADENTON
State	:	FL
Zip	:	34212-4434
Country	:	US
Telephone Number	:	941-567-6926
Fax Number	:	941-567-6926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/01/2013

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