Individual
JESSICA DECANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 5TH AVE NE, BRADENTON, FL 34208-5085
(610) 329-7075
Mailing address
3811 5TH AVE NE, BRADENTON, FL 34208-5085
(610) 329-7075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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