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Individual

JEFFREY C WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4020 W SAN JUAN ST, TAMPA, FL 33629-6718
(813) 404-3800
Mailing address
4020 W SAN JUAN ST, TAMPA, FL 33629-6718
(813) 404-3800

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 2869082
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301712500
FL
Enumeration date
09/29/2005
Last updated
03/17/2025
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