Individual
JOSHUA R JEFFERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8803 COVERED BRIDGE CT, TAMPA, FL 33634-1074
(813) 317-6007
Mailing address
8803 COVERED BRIDGE CT, TAMPA, FL 33634-1074
(813) 317-6007
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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