Individual
JEREMY DENIS MATYJASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1554 SURGEONS DR, TALLAHASSEE, FL 32308-4631
(850) 219-6800
Mailing address
1554 SURGEONS DR, TALLAHASSEE, FL 32308-4631
(850) 219-6800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9276216
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN110402
FL
Other
Enumeration date
07/27/2023
Last updated
06/27/2025
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