Individual
JACKIE LEE CATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2154 DUCK SLOUGH BLVD, TRINITY, FL 34655-5073
(727) 937-6020
(866) 665-2702
Mailing address
2154 DUCK SLOUGH BLVD, TRINITY, FL 34655-5073
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
643079
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9178585
FL
Other
Enumeration date
01/09/2007
Last updated
02/28/2025
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