Active NPI
Malby Maria Davila, CRNA
- Certified Registered Nurse Anesthetist
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11021806
- Practice address
- 11612 SW 13TH LN
Pembroke Pines, FL 33025-4824 - Phone
- (954) 995-1343
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11021806 | FL | Primary |
Addresses
Primary practice location
11612 SW 13TH LN
Pembroke Pines, FL 33025-4824
Mailing address
11612 SW 13TH LN
Pembroke Pines, FL 33025-4824
Phone (954) 995-1343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OR, GA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Ave F NE
Winter Haven, FL 33881-4131
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433
Hospital & facility affiliations
- Winter Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021806 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Single Specialty | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Georgia - TCS, PC | Single Specialty | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Single Specialty | Current | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Single Specialty
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Single Specialty
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
Single Specialty
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Single Specialty
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1457300998
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1518631662
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1275240822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11612 SW 13TH LN",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254824",
"telephone_number": "954-995-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11612 SW 13TH LN",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254824",
"telephone_number": "954-995-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "MALBY",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11021806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.