| Andria Edwards-fagon, CRNA | |
|
920 Sw 111th Ave, Pembroke Pines, FL 33025-3514 | |
| (954) 326-1697 | |
| (954) 326-1697 |
| Full Name | Andria Edwards-fagon |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 920 Sw 111th Ave, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184963514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9225237 (Florida) | Primary |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Anesco North Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699763862 PECOS PAC ID: 3173436094 Enrollment ID: O20040225000118 |
| Entity Name | American Anesthesiology Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679592893 PECOS PAC ID: 9133390313 Enrollment ID: O20111107000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Andria Edwards-fagon, CRNA 920 Sw 111th Ave, Pembroke Pines, FL 33025-3514 Ph: (954) 326-1697 | Andria Edwards-fagon, CRNA 920 Sw 111th Ave, Pembroke Pines, FL 33025-3514 Ph: (954) 326-1697 |
Ms. Tammie Lee Rohal, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1110 Sw 152nd Ter, Pembroke Pines, FL 33027 Phone: 954-450-2127 Fax: 954-450-0124 | |
Mrs. Malby Maria Davila, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11612 Sw 13th Ln, Pembroke Pines, FL 33025 Phone: 954-995-1343 | |
Kristen L. Herrera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N. Flamingo Road, Pembroke Pines, FL 33028 Phone: 954-838-2371 | |
Ms. Ellen Rey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1110 Sw 152nd Ter, Pembroke Pines, FL 33027 Phone: 954-450-2127 Fax: 954-450-0124 | |
Lizzette Triana Warren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7800 Sheridan Street, Pembroke Pines, FL 33024 Phone: 954-962-9650 | |
Katie Brennan Grey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-436-5000 |