Derefaka, George T
Derefaka, George T is an individual health care provider with primary practice located at 3601 W Commercial Blvd Suite 5, Ft Lauderdale FL 33309-3300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Derefaka, George T can be contacted via phone (954) 703-2931.Contact Information
Primary practice address
3601 W Commercial Blvd Suite 5
Ft Lauderdale FL 33309-3300
Phone: (954) 703-2931
Fax: (954) 585-0297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN9274231 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2024028590 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024195780 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1203549 | Texas |
Profile Details
| NPI number | 1386074474 |
|---|---|
| LBN Legal business name | Derefaka, George T |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2013 |
| Last updated | Mar 20th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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