Joel Vega De Jesus, CRNA
Nurse Anesthetist, Certified Registered in Wellington, FL. Individual provider (NPI-1).
NPI number1750880944
StatusActive
Last updated in NPPESFeb 2, 2018
Details
- NPI
- 1750880944
- Entity type
- Individual (NPI-1)
- Name
- Joel Vega De Jesus
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2018
- Last updated
- Feb 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9353472 | FL | Yes |
Practice location
10101 Forest Hill BlvdWellington, FL 33414-6103
Phone 561-798-8563
Mailing address
2220 Windcrest Lake CirOrlando, FL 32824-5666
Phone 787-596-0725
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