Organization
JAY P KUMAR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY P KUMAR MD (OWNER / PROVIDER)
(352) 597-6600
Entity
Organization
Contact information
Practice address
10075 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 597-6600
Mailing address
PO BOX 21727, TAMPA, FL 33622-1727
(727) 823-2188
(727) 823-9502
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH2445
RAILROAD MEDICARE
—
Enumeration date
08/15/2006
Last updated
07/11/2008
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