Individual
JEFFREY A HAMELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA0002824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y04EZ
BC/BS
FL
Enumeration date
06/16/2005
Last updated
03/26/2025
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