Provider Demographics
NPI:1093807646
Name:VAJNA, EUGENE ALBERT (CRNA, MS)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:ALBERT
Last Name:VAJNA
Suffix:
Gender:M
Credentials:CRNA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 540442
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32854-0442
Mailing Address - Country:US
Mailing Address - Phone:407-841-9315
Mailing Address - Fax:
Practice Address - Street 1:2106 N WESTMORELAND DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5238
Practice Address - Country:US
Practice Address - Phone:407-841-9315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28171527A367500000X
FLARNP1627772367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered