Individual
DR. JACK N. GAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 935-0500
(727) 935-0501
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
ME58150
FL
207ZC0006X
Clinical Pathology Physician
ME58150
FL
207ZD0900X
Dermatopathology (Pathology) Physician
ME58150
FL
207ZP0101X
Anatomic Pathology Physician
ME58150
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME58150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261649100
—
FL
Enumeration date
06/23/2006
Last updated
09/01/2022
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