Mr Edgardo Julio Pomales De Santiago, CRNA | |
700 W Oak St, Kissimmee, FL 34741-4924 | |
(407) 846-2266 | |
Not Available |
Full Name | Mr Edgardo Julio Pomales De Santiago |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 700 W Oak St, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740986066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 9612491 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 11022557 (Florida) | Primary |
Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
Mailing Address | Practice Location Address |
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Mr Edgardo Julio Pomales De Santiago, CRNA Hc 4 Box 47557, Mayaguez, PR 00680-9433 Ph: () - | Mr Edgardo Julio Pomales De Santiago, CRNA 700 W Oak St, Kissimmee, FL 34741-4924 Ph: (407) 846-2266 |
Heidi S Melone, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-846-2266 | |
Patrick M Joyce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2275 N Central Ave, Kissimmee, FL 34741 Phone: 407-870-0573 | |
Melissa Jane Hutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Celebration Pl, Kissimmee, FL 34747 Phone: 904-825-8949 | |
Wook Cha, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-518-3553 | |
Mr. Alexis Beltran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4377 Spring Blossom Dr, Kissimmee, FL 34746 Phone: 917-324-3724 | |
Mr. Demis Florin Russu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-846-2266 | |
Elvis Villanueva Galloza, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 W Oak St, Kissimmee, FL 34741 Phone: 407-846-2266 |