Individual provider Active NPI

Bonita D Rambo, CRNA

  • Certified Registered Nurse Anesthetist
  • Mount Dora, FL
National Provider Identifier
1265728075
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3115212 Issued in FL
Practice address
3710 Lake Center Dr
Mount Dora, FL 32757-2316
Phone
(352) 383-1268
NPI assigned
Jun 21, 2011
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3115212 FL Primary

Addresses

Primary practice location

3710 Lake Center Dr
Mount Dora, FL 32757-2316

Mailing address

PO Box 850001
Dept #0753
Orlando, FL 32885-0753
Phone (352) 259-3814

Other names 1

  • Bonita D Rambo-Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000257 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224206651 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Anesthesia Associates, LLCGroup PAC ID 3274957998, 9 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006

63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Anesthesia Associates LLC CurrentSince Jan 13, 2015 Accepting new patients
Orange County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 18, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
Ocala Endoscopy Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients
Ocala Anesthesia Ams LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2014 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

6241 Arc Way
Fort Myers, FL 33966
Phone (239) 278-9955

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

3710 Lake Center Dr
Mount Dora, FL 32757
Phone (352) 383-1268

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272

5771 49th St N
St Petersburg, FL 33709
Phone (727) 443-4299

5771 49th St N
Ste 157
St Petersburg, FL 33709

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1265728075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "address_2": "DEPT #0753",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850753",
            "telephone_number": "352-259-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572316",
            "telephone_number": "352-383-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBO",
        "first_name": "BONITA",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3115212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONITA",
            "last_name": "RAMBO-SMITH",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.