Individual
JAYAR BANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17240 CORTEZ BLVD, BROOKSVILLE, FL 34601-8921
(352) 796-5111
Mailing address
3768 103RD AVE N, CLEARWATER, FL 33762-5476
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
ARNP9246017
FL
Other
Enumeration date
04/22/2015
Last updated
04/29/2015
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