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Individual

DR. JAY KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10075 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 597-6600
(352) 597-6601
Mailing address
14690 SPRING HILL DR, #101, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 799-0115

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME68511
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27156
BCBS
FL
01
290010292
RR MCR
05
377992100
FL
01
P01256980
RAILROAD MEDICARE
FL
Enumeration date
08/16/2006
Last updated
02/16/2014
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