Individual
BURT H. PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 872-2244
(407) 926-9173
Mailing address
PO BOX 4985, ORLANDO, FL 32802-4985
(407) 872-2244
(407) 926-9173
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9227988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
FLORIDA BC/BS
FL
05
—
PENDING
—
FL
Enumeration date
06/23/2009
Last updated
08/07/2009
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