Individual
JACOB MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-8468
(352) 273-8610
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11027445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119359900
—
FL
Enumeration date
02/24/2023
Last updated
01/05/2024
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