Individual
JJAY D GRAZETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ASPT HT
Contact information
Practice address
2505 FLAGLER AVE, KEY WEST, FL 33040-3934
(305) 587-4994
Mailing address
2505 FLAGLER AVE, KEY WEST, FL 33040-3934
(305) 587-4894
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
640828030014
FL
246RP1900X
Phlebotomy Technician
Primary
640828030014
FL
374700000X
Technician
640828030014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141125085651
141125085651-30026666753
FL
Enumeration date
12/23/2014
Last updated
03/25/2020
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