MEDICARE: JEFFREY C WOOD CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	ARNP 2869082	FL
2	367500000X	Certified Registered Nurse Anesthetist	2893	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962499640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY C WOOD CRNA

Provider Business Mailing Address
First Line	:	4020 W SAN JUAN ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-6718
Country	:	US
Telephone Number	:	813-404-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4020 W SAN JUAN ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-6718
Country	:	US
Telephone Number	:	813-404-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	06/09/2026

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