Individual
JEFFREY TODD LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
455 PINELIAS ST, STE 400, CLEARWATER, FL 33756-3356
(727) 445-1911
(727) 445-1986
Mailing address
455 PINELLAS ST, STE 400, CLEARWATER, FL 33756-3356
(727) 445-1992
(727) 445-1993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291252000
—
FL
Enumeration date
10/17/2005
Last updated
10/26/2012
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