Basic Information
Provider Information
NPI: 1821049438
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURNS
FirstName: ROSARIO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 816759
Address2:  
City: HOLLYWOOD
State: FL
PostalCode: 330810759
CountryCode: US
TelephoneNumber: 9549642450
FaxNumber: 9549646084
Practice Location
Address1: 4300 ALTON RD
Address2: ANESTHESIA DEPARTMENT
City: MIAMI BEACH
State: FL
PostalCode: 331402800
CountryCode: US
TelephoneNumber: 3056742345
FaxNumber: 9549646084
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: X
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XARNP 1717302FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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