Individual
DR. JENNIFER ROOT MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, DEPT 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970
Mailing address
501 6TH AVE S, DEPT 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME68106
FL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME68106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379718000
—
FL
Enumeration date
05/13/2006
Last updated
05/03/2022
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