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Organization
JEFFERY A. PROSSER, M.D.
Active
Organization
JEFFERY A. PROSSER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY ALLEN PROSSER MD (PRESIDENT)
(813) 943-1684
Entity
Organization
Contact information
Practice address
905 E MLK DR STE 390, TARPON SPRINGS, FL 34689-4828
(727) 940-7664
(727) 940-7710
Mailing address
PO BOX 2348, TARPON SPRINGS, FL 34688-2348
(727) 940-7664
(727) 940-7710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 81606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00614755
—
FL
01
—
330394
MEDICARE PROVIDER #
FL
Enumeration date
05/20/2013
Last updated
10/27/2022
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