Individual
MR. JEFFREY THOMAS SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 483-5850
(904) 265-6409
Mailing address
86648 RIVERWOOD DR, YULEE, FL 32097-6446
(904) 307-5981
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN231221
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9173128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306738600
—
FL
05
—
414335265A
—
GA
Enumeration date
03/24/2006
Last updated
07/11/2013
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