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Christopher Alexander Staczek

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHRISTOPHER ALEXANDER STACZEK12054640052021-06-05

Christopher Alexander Staczek is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205464005. Registration indicates Christopher Alexander Staczek is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered) (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider NameDr. Christopher Alexander Staczek CRNA
Practice Office Address520 S LAKE FORMOSA DR
ORLANDO, FL US
Practice Office Telephone4079705620
Mailing Address12715 GENEVA GLADE DR
RIVERVIEW, FL 335787606 US
Business Telephone4079705620
HPT Codes
CodePractice
License No
State
163W00000X
Nursing Service Providers
Registered Nurse
Registered Nurse

All Other Specialties & Provider Types

Registered Nurse
Nursing Service Providers
RN9385383
FL
367500000X PRIMARY
Physician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
Nurse Anesthetist, Certified Registered

All Other Specialties & Provider Types

Nurse Anesthetist, Certified Registered
Physician Assistants & Advanced Practice Nursing Providers
11013432
FL
OPI Codes

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