Individual
JESSE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 S MORGAN ST UNIT 1123, TAMPA, FL 33602-5325
(607) 624-3546
Mailing address
124 S MORGAN ST UNIT 1123, TAMPA, FL 33602-5325
(607) 624-3546
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11010611
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2020
Last updated
12/22/2020
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