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Individual

JESSICA ANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
32789 EILAND BLVD STE 117, WESLEY CHAPEL, FL 33545-5268

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
943765
TX

Other

Enumeration date
10/03/2025
Last updated
10/03/2025
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