D'Augusta, Dennis

D'Augusta, Dennis is an individual health care provider with primary practice located at 12511 World Plaza Ln Bldg 50 , Fort Myers FL 33907-3991. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. D'Augusta, Dennis can be contacted via phone (239) 939-2622.

Contact Information

Primary practice address
12511 World Plaza Ln Bldg 50 Fort Myers FL 33907-3991
Phone: (239) 939-2622
Fax: (239) 939-0151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1885222 Florida

Profile Details

NPI number 1518931336
LBN Legal business name D'Augusta, Dennis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Feb 28th, 2013 - about 11 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 1518931336 NPPES
Florida Other G0356Z BC/BS FL
Florida Other 430063195 BC/BS FL
Florida MEDICAID 304621400 BC/BS FL

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