Provider Demographics
NPI:1235683731
Name:ALIMBUYAO, ETHEL T (CRNA)
Entity Type:Individual
Prefix:
First Name:ETHEL
Middle Name:T
Last Name:ALIMBUYAO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:851 TRAFALGAR CT
Mailing Address - Street 2:SUITE 200E
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4132
Mailing Address - Country:US
Mailing Address - Phone:321-422-7155
Mailing Address - Fax:407-667-4338
Practice Address - Street 1:851 TRAFALGAR CT
Practice Address - Street 2:SUITE 200E
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4132
Practice Address - Country:US
Practice Address - Phone:321-422-7155
Practice Address - Fax:407-667-4338
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9342189367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered