Individual
JACQUELYN ANNE SELVAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A. (ANESTHESIOLOGY
Contact information
Practice address
12902 USF MAGNOLIA DR, ANESTHESIA DEPARTMENT, TAMPA, FL 33612-9416
(414) 336-6646
Mailing address
10134 DEERCLIFF DR, TAMPA, FL 33647-2936
(414) 336-6646
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA67
FL
367H00000X
Anesthesiologist Assistant
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—
Other
Enumeration date
08/11/2010
Last updated
02/03/2014
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