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NPI Code Detail

MEDICARE: GREGORY EDWARD ALEXANDER CRNA

MEDICARE: GREGORY EDWARD ALEXANDER 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 AnesthetistRN2803702FL

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 : 1376536318
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY EDWARD ALEXANDER CRNA
Provider Business Mailing Address
First Line : 11800 SW 72ND PL
Second Line :
City : MIAMI
State : FL
Zip : 33156-4642
Country : US
Telephone Number : 305-484-3363
Fax Number :
Provider Business Practice Location Address
First Line : 6200 SW 73RD ST
Second Line : DEPARTMENT OF ANESTHESIA
City : SOUTH MIAMI
State : FL
Zip : 33143-4679
Country : US
Telephone Number : 786-662-8192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 07/01/2014

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Directions to “ GREGORY EDWARD ALEXANDER CRNA” Practice Location

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