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NPI Code Detail

MEDICARE: CHRISTA T DUBOIS CRNA

MEDICARE:   CHRISTA T DUBOIS  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 AnesthetistARNP 3360222FL

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 : 1770526519
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTA T DUBOIS CRNA
Provider Business Mailing Address
First Line : 3601 W COMMERCIAL BLVD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-3300
Country : US
Telephone Number : 954-703-2931
Fax Number : 954-585-9207
Provider Business Practice Location Address
First Line : 1725 N UNIVERSITY DR
Second Line : 2ND FLOOR
City : CORAL SPRINGS
State : FL
Zip : 33071-6089
Country : US
Telephone Number : 786-457-4405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 09/10/2015

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Directions to “ CHRISTA T DUBOIS CRNA” Practice Location

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