Individual
JAY RALEIGH HUMPHREY
Active
Individual
JAY RALEIGH HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002111
CT
363AM0700X
Medical Physician Assistant
Primary
PA9116008
FL
Other
Enumeration date
05/02/2007
Last updated
08/23/2024
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