# JEFFREY B MIEDEMA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720757214
- **Gender:** Man
- **Credential:** MBA, RRT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2279C0205X | Critical Care Registered Respiratory Therapist | RT10921 | FL | Yes |
| 2279P4000X | Patient Transport Registered Respiratory Therapist | RT10921 | FL | — |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 04/02/2025