Provider Demographics
NPI:1134248396
Name:SMUDZINSKI, KURT M (CRNA)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:M
Last Name:SMUDZINSKI
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 TAMPA GENERAL CIR
Mailing Address - Street 2:SUITE A327
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3571
Mailing Address - Country:US
Mailing Address - Phone:813-844-7677
Mailing Address - Fax:813-844-4972
Practice Address - Street 1:711 N TAYLOR ST
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2296
Practice Address - Country:US
Practice Address - Phone:970-641-1456
Practice Address - Fax:970-641-9017
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-50421367500000X
FLARNP 9353970367500000X
COC-APN.0102603-C-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI59560501Medicaid
CO9000235641Medicaid