Individual
MR. MICHAEL T. MIZUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4725 N FEDERAL HIGHWAY, AMERICAN ANESTHESIOLOGY SERVICES OF FLORIDA, INC., FORT LAUDERDALE, FL 33308-4603
(954) 493-5005
(954) 938-0957
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720891
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9441386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018674700
—
FL
Enumeration date
06/26/2015
Last updated
10/25/2017
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