Individual
JEETHU BABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4195 LOOKING GLASS PL, SANFORD, FL 32771-3923
(689) 275-3626
Mailing address
4195 LOOKING GLASS PL, SANFORD, FL 32771-3923
(689) 275-3626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11047475
FL
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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