Individual
LESLIE G JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
23142 GROW RD, EUSTIS, FL 32736-8442
(352) 430-7188
(407) 667-4338
Mailing address
23142 GROW RD, EUSTIS, FL 32736-8442
(352) 430-7188
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9206075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308233400
—
FL
01
—
G4221
BCBS
FL
Enumeration date
02/15/2007
Last updated
07/19/2013
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