Berly-Maldonado, Betty

Berly-Maldonado, Betty is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Berly-Maldonado, Betty can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9190683 Florida

Profile Details

NPI number 1952372153
LBN Legal business name Berly-Maldonado, Betty
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952372153 NPPES
Florida MEDICAID 304922100

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