Individual
MS. JENNIFER BUITRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1261 S TAMIAMI TRL, SARASOTA, FL 34239-2219
(941) 366-1164
(941) 366-3123
Mailing address
2607 PEGASUS CT, BRANDON, FL 33511-7033
(917) 502-8255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2298272
MA
367500000X
Certified Registered Nurse Anesthetist
317120
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11009806
FL
Other
Enumeration date
03/25/2018
Last updated
09/13/2022
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