Individual
JACKLYN GRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W COMMERCIAL BLVD, SUITE 5, FT LAUDERDALE, FL 33309-3300
(954) 485-5666
(954) 484-1651
Mailing address
3601 W COMMERCIAL BLVD, SUITE 5, FT LAUDERDALE, FL 33309-3300
(954) 485-5666
(954) 484-1651
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2570402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034952600
—
FL
01
—
ARNP2570402
FL LIC
FL
01
—
G1724
BCBS
FL
Enumeration date
03/08/2006
Last updated
03/07/2017
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