Barron None Fazekas, CNA
Individual provider Active NPI Nurse's Aide · Islamorada, FL
NPI 1295028306 · NPPES record last updated May 23, 2011
Key facts
- NPI
- 1295028306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- CNA31305 (FL)
- Practice address
- 111 San Marco Dr
Islamorada, FL 33036-3305 - Phone
- (305) 664-4604
- NPI assigned
- May 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA31305 | FL | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA31305 | FL | Yes |
Addresses
Primary practice location
111 San Marco Dr
Islamorada, FL 33036-3305
Mailing address
111 San Marco Dr
Islamorada, FL 33036-3305
Phone (305) 664-4604
Other providers in Islamorada, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.