# JESSICA HUANG, M.D., P.C.

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

## Provider details

- **NPI number:** 1871182204
- **Authorized official:** JESSICA HUANG MD (SHAREHOLDER PHYSICIAN)
- **Authorized official phone:** (248) 835-4739

## Contact information

- **Practice address:** 4207 S DALE MABRY HWY UNIT 4105, TAMPA, FL 33611-1434
- **Practice address phone:** (248) 835-4739
- **Mailing address:** 4953 MCGILL WAY, SAN DIEGO, CA 92130-2720
- **Mailing address phone:** (781) 879-6760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2021
- **Last updated:** 01/11/2021