Whalio Doctors

NPI 1033777941

Jeremiah James Pastor, CRNA

Practitioner Certified Registered Nurse Anesthetist Lakeland, FL

Practice location

Address
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065
Phone
(863) 680-7000
Fax
(866) 264-8519

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence APRN11002694 (FL)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RN9362967 (FL)

Registry record

NPI
1033777941
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jun 2019
Record last updated
20 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.