Individual
JESSICA G ORTIZ-COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5762
(352) 323-5024
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
(352) 265-8077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
89333
PR
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103451400
—
FL
Enumeration date
09/10/2013
Last updated
04/17/2020
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