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Individual
JESSICA DIFO
Active
Individual
JESSICA DIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9103704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292737300
—
FL
01
—
Y00S4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/26/2007
Last updated
08/19/2026
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