Provider Demographics
NPI:1114970555
Name:DOBRASKI, RENEE KATHLEEN (CRNA)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:KATHLEEN
Last Name:DOBRASKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:KATHLEEN
Other - Last Name:SAGLIBENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:400 N ASHLEY DR
Mailing Address - Street 2:SUITE 1625
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4300
Mailing Address - Country:US
Mailing Address - Phone:813-635-5808
Mailing Address - Fax:813-844-4972
Practice Address - Street 1:1 TAMPA GENERAL CIR
Practice Address - Street 2:SUITE A327
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3571
Practice Address - Country:US
Practice Address - Phone:813-844-4434
Practice Address - Fax:813-844-4972
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9168482367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307731400Medicaid
FLP00327774OtherMEDICARE RAILROAD
FLG4024OtherBCBS
FLU7826ZOtherMEDICARE GTBA REASSIGN
FL7468805OtherAETNA PIN
FLU7826Medicare PIN