Individual
JEREMY BOOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
303 E KEARSLEY ST, FLINT, MI 48502-1907
(810) 762-3147
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704297754
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11035503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125285600
—
FL
Enumeration date
11/18/2019
Last updated
03/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us