Individual
JASON C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3024 4TH ST, MARIANNA, FL 32446-2125
(850) 482-7200
Mailing address
3024 4TH ST, MARIANNA, FL 32446-2125
(850) 482-7200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3248852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2946
BCBS FLORIDA
FL
Enumeration date
05/24/2006
Last updated
02/25/2008
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