MR. DONALD KEITH MARTINO CRNA
Nursing Yellow Pages
Tavares, Florida
Provider NPI: 1053429126
Provider Information:MR. DONALD KEITH MARTINO CRNA
Practice Location:
1000 WATERMAN WAY TAVARES, FL 32778 US
Tel: 352-253-3333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | FL | ARNP977482 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
301759100 | FL | 05 | |
BC BS | G1859 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin