Individual
MR. JAN LEWIS NETHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
4045 KRISTANNA DR, PANAMA CITY, FL 32405-3291
(850) 271-8333
Mailing address
4045 KRISTANNA DR, PANAMA CITY, FL 32405-3291
(850) 271-8333
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1450052
FL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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