Healthcare Provider Details

I. General information

NPI: 1750200457
Provider Name (Legal Business Name): MARCELLA P JONES DO FAMILY MEDICINE CLINIC AND WEIGHT LOSS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 ALLEGRA WAY STE 314
LUTZ FL
33559-6999
US

IV. Provider business mailing address

PO BOX 46758
TAMPA FL
33646-0107
US

V. Phone/Fax

Practice location:
  • Phone: 479-561-1108
  • Fax: 844-623-1999
Mailing address:
  • Phone: 479-561-1108
  • Fax: 844-623-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TINA CHASE
Title or Position: CREDENTIALING
Credential:
Phone: 810-230-0338