Individual
MRS. ANA C. KRAKUSIN BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, AMERICAN ANESTHESIOLOGY ASSOCIATES OF FLORIDA INC, TAMPA, FL 33607-6307
(813) 350-7244
(813) 350-7246
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME102670
FL
207L00000X
Anesthesiology Physician
Q5684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q5684
TEXAS MEDICAL LICENSE
TX
Enumeration date
01/24/2006
Last updated
10/24/2017
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