Individual
JAIME MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, APRN
Contact information
Practice address
1843 SOMMARIE WAY, TARPON SPRINGS, FL 34689-6206
(843) 812-7641
Mailing address
1843 SOMMARIE WAY, TARPON SPRINGS, FL 34689-6206
(843) 812-7641
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11010647
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/14/2020
Last updated
07/25/2025
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