Individual
JARED SABER D'AVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1040 INVERNESS AVE, MELBOURNE, FL 32940-1913
(352) 281-5889
Mailing address
1040 INVERNESS AVE, MELBOURNE, FL 32940-1913
(352) 281-5889
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9174901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00746990
MEDICARE RAILROAD
FL
Enumeration date
02/23/2007
Last updated
10/26/2009
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