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NPI Code Detail

MEDICARE: BART BACHURA CRNA

MEDICARE: BART BACHURA 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 Anesthetist16615CT
2367500000XCertified Registered Nurse AnesthetistAPRN9340189FL

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 : 1568846301
Entity Type Code : Individual
Provider Name (Legal Business Name) : BART BACHURA CRNA
Provider Business Mailing Address
First Line : 291 SOUTHHALL LN
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7274
Country : US
Telephone Number : 407-667-0444
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 : 407-667-0444
Fax Number : 407-667-4338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2015
Last Update Date : 03/20/2026

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Directions to “ BART BACHURA CRNA” Practice Location

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