| Ivan Peralta, CRNA | |
|
2020 59th St W, Bradenton, FL 34209-4604 | |
| (941) 792-6611 | |
| Not Available |
| Full Name | Ivan Peralta |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2020 59th St W, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437960069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11037307 (Florida) | Primary |
| Entity Name | Capital Anesthesia Solutions Of Florida Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Peralta, CRNA 19525 Sw 94th Pl, Dunnellon, FL 34432-4111 Ph: (786) 543-6110 | Ivan Peralta, CRNA 2020 59th St W, Bradenton, FL 34209-4604 Ph: (941) 792-6611 |
Carly Provan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8000 State Road 64 E, Bradenton, FL 34212 Phone: 941-792-1404 | |
Laura Ann Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, Ste 5600, Bradenton, FL 34209 Phone: 941-798-3524 | |
Cynthia Chandler Gibson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7118 Hawks Harbor Cir, Bradenton, FL 34207 Phone: 941-350-2039 | |
Mr. Steven Stanley Walther, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6015 Pointe West Blvd, Bradenton, FL 34209 Phone: 941-792-1404 Fax: 941-761-0712 | |
Anthony Eleuterio Marchiano, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6640 Anchor Loop, Apt 108, Bradenton, FL 34212 Phone: 941-567-6926 Fax: 941-567-6926 | |
Chasity Kentros, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, #4650, Bradenton, FL 34209 Phone: 941-798-3524 | |
Kasey Allen Spivey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-524-9113 |