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NPI Code Detail

MEDICARE: MR. MOHAMMED BRINI CRNA

MEDICARE: MR. MOHAMMED BRINI 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 AnesthetistD184972IA
2367500000XCertified Registered Nurse AnesthetistARNP9331739FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PENDINGOTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306293386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOHAMMED BRINI CRNA
Provider Business Mailing Address
First Line : 851 TRAFALGAR CT
Second Line : SUITE 200E
City : MAITLAND
State : FL
Zip : 32751-4132
Country : US
Telephone Number : 321-422-7155
Fax Number : 407-667-4338
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 321-422-7155
Fax Number : 407-667-4338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2016
Last Update Date : 03/09/2026

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