# JEFFERY A. PROSSER, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366888166
- **Authorized official:** JEFFERY ALLEN PROSSER MD (PRESIDENT)
- **Authorized official phone:** (813) 943-1684

## Contact information

- **Practice address:** 905 E MLK DR STE 390, TARPON SPRINGS, FL 34689-4828
- **Practice address phone:** (727) 940-7664
- **Practice address fax:** (727) 940-7710
- **Mailing address:** PO BOX 2348, TARPON SPRINGS, FL 34688-2348
- **Mailing address phone:** (727) 940-7664
- **Mailing address fax:** (727) 940-7710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME 81606 | FL | Yes |

## Other

- **Enumeration date:** 05/20/2013
- **Last updated:** 10/27/2022