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NPI Code Detail

MEDICARE: ELIZABETH GONZALEZ PEREZ CRNA

MEDICARE: ELIZABETH GONZALEZ PEREZ 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 AnesthetistARNP 3360192FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2G3436YOTHERFLMEDICARE GTBA REASSIGN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19694073OTHERFLAETNA PIN
3G3436OTHERBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285625616
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH GONZALEZ PEREZ CRNA
Provider Business Mailing Address
First Line : 3880 TAMIAMI TRL N
Second Line :
City : NAPLES
State : FL
Zip : 34103-3504
Country : US
Telephone Number : 239-659-3937
Fax Number : 813-844-4972
Provider Business Practice Location Address
First Line : 3880 TAMIAMI TRL N
Second Line :
City : NAPLES
State : FL
Zip : 34103-3504
Country : US
Telephone Number : 239-659-3937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 07/21/2022

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