Individual
JEFFREY D. NAGGATZ
Active
Individual
JEFFREY D. NAGGATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1639682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009953530
—
AL
05
—
303787800
—
FL
01
—
430032577
RAILROAD MEDICARE
FL
01
—
59123478
BLUECROSS & BLUESHIELD
AL
01
—
G0282
BLUECROSS & BLUESHIELD
FL
Enumeration date
08/15/2005
Last updated
08/05/2008
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