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NPI Code Detail

MEDICARE: ANGELINE JEANTY

MEDICARE: ANGELINE JEANTY
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
1225200000XPhysical Therapy AssistantPTA33416FL

General Provider Information

NPI Number : 1063358422
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELINE JEANTY
Provider Business Mailing Address
First Line : 1750 N 50TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33619-3104
Country : US
Telephone Number : 813-572-7733
Fax Number :
Provider Business Practice Location Address
First Line : 1750 N 50TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33619-3104
Country : US
Telephone Number : 813-572-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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Directions to “ ANGELINE JEANTY ” Practice Location

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