Individual
JENNA NICOLE CAPUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 VONDERBURG DR STE 115W, BRANDON, FL 33511-5969
(813) 535-6212
Mailing address
6169 30TH AVE N, ST PETERSBURG, FL 33710-3335
(727) 946-7795
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120130
FL
Other
Enumeration date
04/28/2025
Last updated
05/01/2025
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