Individual
MR. JESSE ROBERT BAILEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED SURGICAL A
Contact information
Practice address
3401 OAKELLAR ST, TAMPA, FL 33611-2921
(813) 215-3952
Mailing address
3401 OAKELLAR ST, TAMPA, FL 33611-2921
(813) 215-3952
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
NCCT503819
FL
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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