Individual
JENNIFER KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9109890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105161300
—
FL
01
—
GTLT2
BCBS
FL
Enumeration date
11/22/2016
Last updated
10/29/2024
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