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Organization

JAY P KUMAR MD PA

Active
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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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