Individual
JORGE L MASTRAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
92 WEST MILLER ST., ORLANDO, FL 32806-2032
(407) 649-9111
(321) 841-4603
Mailing address
92 WEST MILLER ST., ORLANDO, FL 32806-2032
(407) 649-9111
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3337822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304949300
—
FL
01
—
G2518
BCBS
FL
Enumeration date
05/24/2006
Last updated
01/04/2012
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