Individual
MISS JAMIE L LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Mailing address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9114442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125739800
—
FL
Enumeration date
05/21/2021
Last updated
04/21/2025
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