Individual
MARK ALAN CAZABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
6604 AMBASSADOR DR, TAMPA, FL 33615-3404
(813) 310-0974
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3115612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306686000
—
FL
01
—
7298731
AETNA
FL
01
—
G3698
BCBS
FL
01
—
U4239Y
MEDICARE GTBA REASSIGN
FL
Enumeration date
05/02/2006
Last updated
06/26/2010
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