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NPI Code Detail

MEDICARE: JEFFREY A HAMELIN PA

MEDICARE: JEFFREY A HAMELIN PA
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
1363AS0400XSurgical Physician AssistantPA0002824FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y04EZOTHERFLBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841295805
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A HAMELIN PA
Provider Business Mailing Address
First Line : 5901 E FOWLER AVE STE 100
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-2305
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-972-5055
Provider Business Practice Location Address
First Line : 5901 E FOWLER AVE STE 100
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-2305
Country : US
Telephone Number : 813-978-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/26/2025

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1578568291 — ALFRED V HESS MD
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1780680074 — MARK A FRANKLE MD
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1881691681 — ROY W SANDERS MD
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Directions to “ JEFFREY A HAMELIN PA” Practice Location

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