Individual
JORDYN LEIGH PETRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8341
Mailing address
828 W LAS OLAS BLVD, FORT LAUDERDALE, FL 33312-7147
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11023819
FL
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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