Wood, Jeffrey C

Wood, Jeffrey C is an sole proprietor health care provider with primary practice located at 4020 W San Juan St , Tampa FL 33629-6718. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wood, Jeffrey C can be contacted via phone (813) 404-3800.

Contact Information

Primary practice address
4020 W San Juan St Tampa FL 33629-6718
Phone: (813) 404-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 2869082 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2893 California

Profile Details

NPI number 1962499640
LBN Legal business name Wood, Jeffrey C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Jun 9th, 2026 - about 4 months 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 1962499640 NPPES
Florida MEDICAID 301712500

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