Individual
JACQUELYN GRACE TRITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 898-7451
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(347) 630-1642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118329
FL
Other
Enumeration date
01/11/2024
Last updated
01/09/2025
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