Individual provider · Type 1 NPI

Charlie Mata, CRNA

Certified Registered Nurse Anesthetist · Fort Lauderdale, FL

NPI number 1013663343 Active

Practice location

4725 N. Federal Hwy
Fort Lauderdale, FL 33308-4603

Call (954) 771-8000 Map

Mailing address

2006 Hogback Rd, Suite 5A
Ann Arbor, MI 48105

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	9347349 (FL)
Certified Registered Nurse Anesthetist Primary	367500000X	APRN11033142 (FL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

5 other providers at this address

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About NPI 1013663343

Charlie Mata, CRNA's National Provider Identifier is 1013663343, issued on Feb 24, 2022. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Feb 21, 2025.