Individual
MATTHEW JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
12901 BRUCE B. DOWNS BLVD., MDC BOX 22, TAMPA, FL 33612
(813) 316-8902
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9342738
FL
367500000X
Certified Registered Nurse Anesthetist
APRN11019611
FL
Other
Enumeration date
02/19/2022
Last updated
06/01/2022
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