Individual
JEFFREY L PURETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1733 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
(813) 688-1528
(813) 577-1949
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0061645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370199900
—
FL
Enumeration date
03/01/2006
Last updated
06/23/2023
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