Individual provider Active NPI

Malby Maria Davila, CRNA

  • Certified Registered Nurse Anesthetist
  • Pembroke Pines, FL
National Provider Identifier
1275240822
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11021806 Issued in FL
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

Updated by the provider on Nov 2, 2022

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 AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230420000738 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365807682 Reassigns benefits to 6 organizations
I20250127000497 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365807682 Reassigns benefits to 1 organization
I20250729001753 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365807682 Reassigns benefits to 1 organization

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
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

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 Hospital, Winter Haven, FL, CCN 100052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11021806FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Single Specialty Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince May 25, 2025 Accepting new patients
Baycare Medical Group, Inc CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Single Specialty CurrentSince Sep 28, 2024 Accepting new patients
Fleming Island Anesthesia LLC Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC Single Specialty CurrentSince May 21, 2025 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Single Specialty CurrentSince Dec 23, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.