Individual
GEORGE T DEREFAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 W COMMERCIAL BLVD, SUITE 5, FT LAUDERDALE, FL 33309-3300
(954) 703-2931
(954) 585-0297
Mailing address
3601 W COMMERCIAL BLVD STE 5, FT LAUDERDALE, FL 33309-3392
(954) 703-2931
(954) 585-0297
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024195780
VA
367500000X
Certified Registered Nurse Anesthetist
1203549
TX
367500000X
Certified Registered Nurse Anesthetist
2024028590
MO
367500000X
Certified Registered Nurse Anesthetist
RN9274231
FL
Other
Enumeration date
11/26/2013
Last updated
03/20/2026
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