Individual
JEFFREY HAFENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 200-8482
Mailing address
7307 GRAND ISLE WAY, PROSPECT, KY 40059-9689
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
970431
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11043927
FL
367500000X
Certified Registered Nurse Anesthetist
CRNA004068
GA
Other
Enumeration date
02/24/2012
Last updated
02/23/2026
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