Doctor Name: | JEFFREY L PURETZ |
NPI Number: | 1811964687 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0061645 |
Business Practice Address: | 1733 Lakeland Hills Blvd Lakeland, FL - 338053016 |
Business Phone Number: | 8136881528 |
Business Fax Number: | 8135771949 |
Mailing Address: | Po Box 25317, TAMPA |
State: | FL |
Postal Code: | 336225317 |
Phone Number: | 8132860033 |
Fax Number: | 8132821806 |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME0061645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |