Individual
JACENTHA BUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
409 BAYSHORE BLVD, #634, TAMPA, FL 33606-2707
(813) 844-5080
Mailing address
409 BAYSHORE BLVD, #634, TAMPA, FL 33606-2707
(813) 844-5080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME117242
FL
Other
Enumeration date
01/22/2014
Last updated
03/04/2015
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