MEDICARE: IVETTE MARIE GAAR 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
1	367500000X	Certified Registered Nurse Anesthetist	ARNP9279788	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1669825790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVETTE MARIE GAAR 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	:	407-667-0444
Fax Number	:	407-667-4338

Provider Business Practice Location Address
First Line	:	4048 EVANS AVE STE 303
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9390
Country	:	US
Telephone Number	:	407-667-0444
Fax Number	:	407-667-4338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	03/03/2021

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