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NPI Code Detail

MEDICARE: JENNIFER ALEJO

MEDICARE: JENNIFER ALEJO
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
1363A00000XPhysician AssistantPA9118870FL

General Provider Information

NPI Number : 1174365282
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ALEJO
Provider Business Mailing Address
First Line : 4401 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-7097
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-7097
Country : US
Telephone Number : 813-393-3720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 06/10/2024

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Directions to “ JENNIFER ALEJO ” Practice Location

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