Jesse Robert Bailey JR. CERTIFIED SURGICAL A

NPI 1336306356 - Specialist/Technologist, Other - 246ZS0410X

NPI Details
NPI 1336306356
Gender Male
Enumeration Date 05/19/2008
Last Updated 05/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3401 OAKELLAR ST
TAMPA FL, 33611-2921, US
Phone (813) 215-3952
Fax
Business Location
3401 OAKELLAR ST
TAMPA FL, 33611-2921, US
Phone (813) 215-3952
Fax
Toxanomy
Taxonomy Code 246ZS0410X
License State Florida
License Number NCCT503819
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According to our database, Mr. Jesse Robert Bailey JR. CERTIFIED SURGICAL A NPI is 1336306356, taxonomy code is 246ZS0410X and license number is NCCT503819, license state is located at Florida. Jesse Robert Bailey JR. CERTIFIED SURGICAL A physically located at 3401 Oakellar St, Tampa FL, 33611-2921. NPI Number Jesse Robert Bailey JR. CERTIFIED SURGICAL A has the Individual type.

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1336306356 NPI number is provided on an as is basis without warranty of any kind. 1336306356 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse Robert Bailey JR. CERTIFIED SURGICAL A are for informational purposes only.