| Roger J Bricault, CRNA | |
|
1000 Waterman Way, Tavares, FL 32778-5266 | |
| (352) 253-3333 | |
| (352) 589-3487 |
| Full Name | Roger J Bricault |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 Waterman Way, Tavares, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942318183 | NPI | - | NPPES |
| 034254800 | Medicaid | FL | |
| G0576 | Other | FL | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP556152 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roger J Bricault, CRNA Po Box 3130, Ocala, FL 34478-3130 Ph: (352) 867-8311 | Roger J Bricault, CRNA 1000 Waterman Way, Tavares, FL 32778-5266 Ph: (352) 253-3333 |
Aleen Joy Mcgowan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Sabine Cadet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3487 | |
Mr. Donald Keith Martino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 352-589-3487 | |
Grant Barry Mcgee, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Jezaira Vargas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-667-0444 Fax: 407-667-4338 | |
Krista Holder, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-667-0444 | |
Angelina Gallagher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 |