Individual
DR. JESSE THOMAS MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
7522 N HIMES AVE, TAMPA, FL 33614-3205
(813) 931-0500
(813) 935-4055
Mailing address
7522 N HIMES AVE, TAMPA, FL 33614-3205
(813) 931-0500
(813) 935-4055
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME132807
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
270516
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME132807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021181600
—
FL
05
—
116287100
—
FL
01
—
4PPP5
FLORIDA BLUE
FL
Enumeration date
04/26/2011
Last updated
03/04/2026
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