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Individual

JENNIFER AYSCUE

Active
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Individual

JENNIFER AYSCUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD32652
DC
208C00000X
Colon & Rectal Surgery Physician
Primary
ME159244
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010103304
DC
01
022077W91
MEDICARE
DC
05
025804400
DC
05
699312500
DC
Enumeration date
01/10/2006
Last updated
09/10/2024
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