Individual
MR. EFRAIN DELEON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
655 W 8TH ST, UFJP ANESTHESIA DEPT., JACKSONVILLE, FL 32209-6511
(904) 244-4195
(904) 244-4908
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3329442
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN3329442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000893791A
—
GA
05
—
3035115-00
—
FL
Enumeration date
03/11/2006
Last updated
07/02/2021
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