Individual
MAXO NAZAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 W COMMERCIAL BLVD, STE 4-5, FORT LAUDERDALE, FL 33309-3300
(954) 485-5666
(954) 484-1651
Mailing address
5257 NW 109TH LN, CORAL SPRINGS, FL 33076-2755
(954) 255-7820
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN9198189
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 9198189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003388300
—
FL
01
—
ARNP9198189
LICENSE
FL
Enumeration date
04/04/2011
Last updated
09/12/2025
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