| Gerald Derise, CRNA | |
|
325 Avenue B Nw, Winter Haven, FL 33881-4651 | |
| (863) 291-4000 | |
| Not Available |
| Full Name | Gerald Derise |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 325 Avenue B Nw, Winter Haven, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720025935 | NPI | - | NPPES |
| P00274577 | Other | FL | RAILROAD MEDICARE |
| 306429800 | Medicaid | FL | |
| G0579 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 573282 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Derise, CRNA Po Box 917110, Orlando, FL 32891-7110 Ph: (800) 901-2102 | Gerald Derise, CRNA 325 Avenue B Nw, Winter Haven, FL 33881-4651 Ph: (863) 291-4000 |
Mrs. Amanda Hill Dillingham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Mr. Glenn A Hardesty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 383 Alpine Dr, Winter Haven, FL 33881 Phone: 863-221-3718 | |
Henry Joseph Bohn, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Janet G Ergle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2400 Dundee Rd, Winter Haven, FL 33884 Phone: 863-293-8471 Fax: 866-665-2702 | |
Mr. Senen Ojeda-lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 844-876-0873 | |
Mario De Jesus Torres, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Marva Louisville, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 Avenue B Nw, Winter Haven, FL 33881 Phone: 863-291-4000 |