Provider Demographics
NPI:1902463037
Name:CERTIFIED ANESTHESIA PROFESSIONAL ASSOCIATES
Entity Type:Organization
Organization Name:CERTIFIED ANESTHESIA PROFESSIONAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAVILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:305-321-8512
Mailing Address - Street 1:P.O. BOX 12344
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33101-0011
Mailing Address - Country:US
Mailing Address - Phone:305-321-8512
Mailing Address - Fax:305-405-7543
Practice Address - Street 1:9900 STIRLING RD #222
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-0100
Practice Address - Country:US
Practice Address - Phone:305-321-8512
Practice Address - Fax:305-405-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty