Individual
MR. DEMARKO VICTOR BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1611 NW 12AVE, MIAMI, FL 33136
(305) 585-6586
Mailing address
15342 SW 36TH TER, MIAMI, FL 33185-4700
(305) 559-2549
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3203632
FL
Other
Enumeration date
02/06/2007
Last updated
03/12/2008
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