Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Demarko Victor Bazan, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1487793402

Mr. Demarko Victor Bazan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Miami, Florida. Qualified in 2004, 22 years ago. Practices with Public Health Trust of Miami Dade County Florida, a 468-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1611 NW 12AVE
Miami, FL 33136
Phone: (305) 585-6586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence ARNP3203632 (FL)

Record details

NPI number1487793402
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESMarch 12, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Public Health Trust Of Miami Dade County Florida — 468 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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