Individual
MR. JEFFRY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(305) 740-0823
Mailing address
8320 NW 8TH ST APT 314, MIAMI, FL 33126-3919
(786) 709-5004
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11006627
FL
Other
Enumeration date
02/12/2020
Last updated
03/17/2020
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