Rademaker, Travis
Rademaker, Travis is an individual health care provider with primary practice located at 2500 Harbor Blvd , Port Charlotte FL 33952-5000. 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. Rademaker, Travis can be contacted via phone (407) 667-0444.Contact Information
Primary practice address
2500 Harbor Blvd
Port Charlotte FL 33952-5000
Phone: (407) 667-0444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN9349137 | Florida |
Profile Details
| NPI number | 1255852166 |
|---|---|
| LBN Legal business name | Rademaker, Travis |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2017 |
| Last updated | Apr 22nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255852166 | NPPES |
| Florida | Other | PENDING | BCBS |
| Florida | MEDICAID | PENDING | BCBS |
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