Provider Demographics
NPI:1316932163
Name:HROVOSKI, THERESA ANN (CRNA)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:HROVOSKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6834 CORONET DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5507
Mailing Address - Country:US
Mailing Address - Phone:727-372-9006
Mailing Address - Fax:
Practice Address - Street 1:601 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5848
Practice Address - Country:US
Practice Address - Phone:727-734-6516
Practice Address - Fax:727-734-4516
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1578032367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306040300Medicaid
FLG0415OtherBCBS OF FL
FLG0415ZMedicare ID - Type Unspecified
FLG0415OtherBCBS OF FL