Individual
MRS. JENNIFER MARIE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
500 VONDERBURG DR, SUIT 102, BRANDON, FL 33511-5964
(813) 681-5658
(813) 681-5250
Mailing address
500 VONDERBURG DR, SUIT 102, BRANDON, FL 33511-5964
(813) 681-5658
(813) 681-5250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103278
FL
Other
Enumeration date
02/06/2007
Last updated
08/20/2009
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