Individual
MR. JARED NATHANIEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(504) 473-8282
Mailing address
100 W GRANT ST APT 2094, ORLANDO, FL 32806-3964
(504) 473-8284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9343634
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11003113
FL
Other
Enumeration date
05/27/2019
Last updated
07/12/2019
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