| Keith Wandolowski, CRNA | |
|
10000 W Colonial Dr, Ocoee, FL 34761 | |
| (206) 850-9151 | |
| Not Available |
| Full Name | Keith Wandolowski |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 10000 W Colonial Dr, Ocoee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295989929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 268405 (Massachusetts) | Primary |
| Entity Name | American Anesthesiology Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617 |
| Entity Name | American Anesthesiology Group Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245708403 PECOS PAC ID: 7416296041 Enrollment ID: O20190226003245 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Wandolowski, CRNA 14161 Baroness Ct, Orlando, FL 32828-7801 Ph: (206) 850-9151 | Keith Wandolowski, CRNA 10000 W Colonial Dr, Ocoee, FL 34761 Ph: (206) 850-9151 |
Dr. Nicole Paige Lingle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1135 Orange Arbour Trl Apt 317, Ocoee, FL 34761 Phone: 218-730-7115 | |
Deanne Fernandez-jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-667-0444 Fax: 407-667-4338 | |
Charles Hauser, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-667-0444 Fax: 407-667-4338 | |
Anne A Crosby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-667-0444 Fax: 407-667-4338 | |
Donna Dere, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-667-0444 Fax: 407-667-4338 | |
Tommy E Torres-rodriguez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10000 W Colonial Dr, Ocoee, FL 34761 Phone: 407-667-0444 Fax: 407-667-4338 |