Individual
MR. OCTAVIO ORONA GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
3601 W COMMERCIAL BLVD STE 5, FORT LAUDERDALE, FL 33309-3392
(954) 485-5666
(954) 585-9207
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11002720
FL LICENSE
FL
Enumeration date
06/21/2019
Last updated
06/21/2019
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