Mizuta, Michael T.
Mizuta, Michael T. is an individual health care provider with primary practice located at 4725 N Federal Highway American Anesthesiology Services Of Florida, Inc., Fort Lauderdale FL 33308-4603. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Mizuta, Michael T. can be contacted via phone (954) 493-5005.Contact Information
Primary practice address
4725 N Federal Highway American Anesthesiology Services Of Florida, Inc.
Fort Lauderdale FL 33308-4603
Phone: (954) 493-5005
Fax: (954) 938-0957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 720891 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP9441386 | Florida |
Profile Details
| NPI number | 1922480896 |
|---|---|
| LBN Legal business name | Mizuta, Michael T. |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2015 |
| Last updated | Oct 25th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922480896 | NPPES |
| Florida | MEDICAID | 018674700 |
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