Individual
JAYSON SHANE LEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3101 PORT ROYALE BLVD APT 1034, FORT LAUDERDALE, FL 33308-7920
(786) 879-9617
Mailing address
3101 PORT ROYALE BLVD APT 1034, FORT LAUDERDALE, FL 33308-7920
(786) 879-9617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95991102
FL
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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