Individual
JIA LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1429 TIVERTON DR, BRANDON, FL 33511-1814
(386) 717-6282
Mailing address
1429 TIVERTON DR, BRANDON, FL 33511-1814
(386) 717-6282
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11026597
FL
Other
Enumeration date
10/17/2022
Last updated
08/22/2023
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