Individual
JENNIFER GRACE CASANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-2486
Mailing address
1120 3RD AVE S, TIERRA VERDE, FL 33715-2229
(813) 765-7799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3062322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018559800
—
FL
01
—
G4273
BCBS
FL
Enumeration date
03/24/2006
Last updated
02/03/2025
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