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NPI Code Detail

MEDICARE: TAMARA BAFFOUR LAVERRIERE CRNA

MEDICARE: TAMARA BAFFOUR LAVERRIERE 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
1163WC0200XCritical Care Medicine Registered NurseRN9486391FL
2367500000XCertified Registered Nurse AnesthetistAPRN11030287FL

General Provider Information

NPI Number : 1750062758
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA BAFFOUR LAVERRIERE CRNA
Provider Business Mailing Address
First Line : 851 TRAFALGAR CT STE 200E
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7420
Country : US
Telephone Number : 407-667-0444
Fax Number :
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-599-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 12/29/2025

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