Individual
JARED B PETERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9335875
FL
367500000X
Certified Registered Nurse Anesthetist
CRNA-01466
NM
Other
Enumeration date
05/10/2012
Last updated
12/07/2017
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