Gramer, Jacklyn

Gramer, Jacklyn is an sole proprietor health care provider with primary practice located at 3601 W Commercial Blvd Suite 5, Ft Lauderdale FL 33309-3300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gramer, Jacklyn can be contacted via phone (954) 485-5666.

Contact Information

Primary practice address
3601 W Commercial Blvd Suite 5 Ft Lauderdale FL 33309-3300
Phone: (954) 485-5666
Fax: (954) 484-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2570402 Florida

Profile Details

NPI number 1124095104
LBN Legal business name Gramer, Jacklyn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Mar 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124095104 NPPES
Florida MEDICAID 034952600
Florida Other ARNP2570402
Florida Other G1724

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