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NPI Code Detail

MEDICARE: MR. ANTHONY PEVERINI CRNA

MEDICARE: MR. ANTHONY PEVERINI 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
1367500000XCertified Registered Nurse Anesthetist2629992FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205820347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY PEVERINI CRNA
Provider Business Mailing Address
First Line : 4362 TRAILS DR
Second Line :
City : SARASOTA
State : FL
Zip : 34232-3445
Country : US
Telephone Number : 941-228-4372
Fax Number : 941-296-7374
Provider Business Practice Location Address
First Line : 8000 STATE ROAD 64 E # 205
Second Line :
City : BRADENTON
State : FL
Zip : 34212-7703
Country : US
Telephone Number : 941-782-0101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2005
Last Update Date : 09/05/2024

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