MEDICARE: JESSE WOOD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	367500000X	Certified Registered Nurse Anesthetist	APRN11010611	FL

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

General Provider Information

NPI Number	:	1255947131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE WOOD

Provider Business Mailing Address
First Line	:	124 S MORGAN ST UNIT 1123
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5325
Country	:	US
Telephone Number	:	607-624-3546
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 S MORGAN ST UNIT 1123
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5325
Country	:	US
Telephone Number	:	607-624-3546
Fax Number	:

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

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	12/22/2020

Similar Medicare Providers

1972970473 — CARA BRYAN MA, CCC/SLP
Practice Location Address:

3011 N ADAMS ST
TAMPA, FL
33611-5325

Practice Phone: 813-728-6601
Practice Fax:

1710335500 — SOUTH TAMPA VOICE THERAPY, LLC
Practice Location Address:

3011 N ADAMS ST
TAMPA, FL
33611-5325

Practice Phone: 813-728-6601
Practice Fax:

1174273692 — JASMINE A TRAMEL
Practice Location Address:

6921 N DAKOTA AVE
TAMPA, FL
33604-5325

Practice Phone: 813-499-8129
Practice Fax:

1508619966 — EMERALD COMPOUNDING PHARMACY, LLC
Practice Location Address:

5325 PRIMROSE LAKE CIR STE A
TAMPA, FL
33647-3540

Practice Phone: 321-321-3313
Practice Fax:

1225831233 — CHRISTOPHER WILLIAM GUSKE MD
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 503-438-9320
Practice Fax:

1104631027 — KRISTINA MARILLA
Practice Location Address:

400 HARBOUR PLACE DR APT 1352
TAMPA, FL
33602-6721

Practice Phone: 518-727-9583
Practice Fax:

Directions to “ JESSE WOOD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.