Individual
MR. JACOB ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
1613 HARRISON PKWY, SUITE 200, SUNRISE, FL 33323-2896
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9331519
FL
367500000X
Certified Registered Nurse Anesthetist
RN206727
GA
Other
Enumeration date
02/26/2015
Last updated
01/03/2024
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