Healthcare Provider Details

I. General information

NPI: 1942792593
Provider Name (Legal Business Name): JASON ROBINSON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-6500
US

IV. Provider business mailing address

845 SCENIC VIEW CIR
MINNEOLA FL
34715-6516
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-8610
  • Fax:
Mailing address:
  • Phone: 132-123-1033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9335561
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: