Individual
MS. MIDALVI S LIZARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
07563
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9425979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2466219
—
OH
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
05/26/2006
Last updated
05/08/2018
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