Individual
JACQUELYN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 N DALE MABRY HWY STE 201, TAMPA, FL 33609-1251
(813) 287-9372
(813) 558-6044
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(138) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
07/20/2023
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