Organization
JACKSON ANESTHESIA ASSOCIATES INC
Active
Organization
JACKSON ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STEPHEN ROGERS CRNA ARNP (PRESIDENT)
(850) 482-7200
Entity
Organization
Contact information
Practice address
3024 4TH ST, MARIANNA, FL 32446-2125
(850) 482-7200
Mailing address
3024 4TH ST, MARIANNA, FL 32446-2125
(850) 482-7200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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