Individual
JEFFREY COMPLETO EMBUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-7290
Mailing address
8550 TOUCHTON RD APT 1136, JACKSONVILLE, FL 32216-2207
(904) 329-5453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11017679
FL
Other
Enumeration date
02/08/2022
Last updated
03/23/2022
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