Individual
LISA HRUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(321) 422-7155
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9332914
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
06/13/2019
Last updated
05/28/2020
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