Individual
JEREMY E CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.R.N.P.
Contact information
Practice address
511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748-7328
(352) 728-6808
(352) 323-8714
Mailing address
511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748-7328
(352) 728-6808
(352) 323-8714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9277105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009259700
—
FL
Enumeration date
06/17/2013
Last updated
07/21/2022
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