Individual
JASON KREIFELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
809 E MARION AVE, PUNTA GORDA, FL 33950-3819
(941) 639-3131
Mailing address
8336 PROVENCIA CT, FORT MYERS, FL 33912-8994
(402) 770-4597
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11013896
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11013896
FL
Other
Enumeration date
07/02/2021
Last updated
07/06/2021
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