Individual
BENEDICTO F BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34474-4004
(352) 237-0509
(352) 237-9808
Mailing address
3309 SW 34TH CIR, STE 101, OCALA, FL 34474-3392
(352) 237-0509
(352) 237-9808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9214765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307074300
—
FL
01
—
592689712
UHC
FL
01
—
ARNP9214765
WC
FL
01
—
G3795
BCBS
FL
01
—
N146227
WELL CR HEZ
FL
Enumeration date
01/19/2007
Last updated
07/08/2007
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