Individual
JAYSON L. GARRELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 452319, SUNRISE, FL 33345-2319
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
695253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167441802
—
TX
Enumeration date
02/06/2006
Last updated
07/08/2007
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