Individual
JIA YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
(813) 974-4325
Mailing address
PO BOX 91770, ORLANDO, FL 32891-0001
(139) 742-2018
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
218546
NC
207RN0300X
Nephrology Physician
Primary
ME148936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110923200
—
FL
01
—
GAZBS
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/17/2016
Last updated
08/09/2021
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