Individual
BRAD DEPUYDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2165 HERSCHEL ST, JACKSONVILLE, FL 32204-3819
(904) 387-4030
(904) 381-9808
Mailing address
8450 GATE PKWY W UNIT 115, JACKSONVILLE, FL 32216-1084
(904) 571-6354
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9266864
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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