Individual
MICHAEL ALAN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9189582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300806600
DOL ACS (FECA)
FL
05
—
305331800
—
FL
01
—
7238900
AETNA GTBA
FL
01
—
G3250
BCBS
FL
01
—
G3250Z
MEDICARE GTBA REASSIGN
FL
Enumeration date
05/16/2006
Last updated
04/14/2008
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