Individual
JESSICA BRITTANY GLEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 TAMPA GENERAL CIR STE 300, TAMPA, FL 33606-3578
(813) 251-0793
Mailing address
5 TAMPA GENERAL CIR STE 300, TAMPA, FL 33606-3578
(813) 251-0793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021785
NY
363A00000X
Physician Assistant
Primary
PA9111286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100310800
—
FL
Enumeration date
02/01/2018
Last updated
03/06/2023
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