Provider Demographics
NPI:1285733741
Name:MAJAC MEDICAL CONSULTANTS INC.
Entity type:Organization
Organization Name:MAJAC MEDICAL CONSULTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:CIARLARIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:813-417-9387
Mailing Address - Street 1:1523 LEDGESTONE DR.
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511
Mailing Address - Country:US
Mailing Address - Phone:813-417-9387
Mailing Address - Fax:813-684-3058
Practice Address - Street 1:1523 LEDGESTONE DR.
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-417-9387
Practice Address - Fax:813-684-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty