Elisaine Patricia Massaro, | |
4300 Alton Rd, Miami, FL 33140-2948 | |
(305) 674-2387 | |
Not Available |
Full Name | Elisaine Patricia Massaro |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4300 Alton Rd, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346879269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 9434842 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11013116 (Florida) | Primary |
Entity Name | Miami Beach Anesthesiology Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639150071 PECOS PAC ID: 6103713243 Enrollment ID: O20040303000012 |
Mailing Address | Practice Location Address |
---|---|
Elisaine Patricia Massaro, 4300 Alton Rd, Miami, FL 33140-2948 Ph: (305) 674-2387 | Elisaine Patricia Massaro, 4300 Alton Rd, Miami, FL 33140-2948 Ph: (305) 674-2387 |
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