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Individual
RONALD BANILBO
Active
Individual
RONALD BANILBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9234406
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9234406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003661600
—
FL
01
—
G00QM
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/26/2011
Last updated
05/13/2015
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