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Individual

JAYSON L. BILBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
P.O. BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7000
(863) 680-7420

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9254249
FL
367500000X
Certified Registered Nurse Anesthetist
R0083178
OK

Other

Enumeration date
11/03/2009
Last updated
06/26/2012
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