| Mr Michael T Mizuta, CRNA | |
|
4725 N Federal Highway, American Anesthesiology Services Of Florida, Inc., Fort Lauderdale, FL 33308-4603 | |
| (954) 493-5005 | |
| (954) 938-0957 |
| Full Name | Mr Michael T Mizuta |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 4725 N Federal Highway, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922480896 | NPI | - | NPPES |
| 018674700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 720891 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9441386 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amsurg South Bay Anesthesia Lp | 4082853411 | 12 |
| Entity Name | Amsurg South Bay Anesthesia Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811230022 PECOS PAC ID: 4082853411 Enrollment ID: O20130617000101 |
| Entity Name | Tip Top Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508283698 PECOS PAC ID: 0941429872 Enrollment ID: O20140908002508 |
| Entity Name | Synergy Anesthesia A Professional Nursing Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578283305 PECOS PAC ID: 1850761115 Enrollment ID: O20221230001747 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael T Mizuta, CRNA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Mr Michael T Mizuta, CRNA 4725 N Federal Highway, American Anesthesiology Services Of Florida, Inc., Fort Lauderdale, FL 33308-4603 Ph: (954) 493-5005 |
Mary Elizabeth Mcnerney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-8000 | |
Barbara L Kenney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5757 North Dixie Highway, C/o North Ridge Medical Center, Fort Lauderdale, FL 33334 Phone: 954-776-6000 | |
Kevin Pittman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 South Andrews Ave, Broawrd General Medical Center, Fort Lauderdale, FL 33316 Phone: 954-355-4400 | |
Olga Gay, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-4400 | |
Mr. Louis Mark Labarbera, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, Ste 5, Fort Lauderdale, FL 33309 Phone: 305-485-5666 Fax: 954-484-1651 | |
Curtiss Cherrnay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Broward General Medical Center, Fort Lauderdale, FL 33316 Phone: 954-355-4400 | |
Kristen Hasty, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6401 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-776-8500 |