Jeffery A. Prosser, M.D.
LBN: Jeffery A. Prosser, M.D.
Jeffery A. Prosser, M.D. is an health care organization with primary practice located at 905 E Mlk Dr Ste 390 , Tarpon Springs FL 34689-4828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Jeffery A. Prosser, M.D. can be contacted via phone (727) 940-7664, or through Prosser, Jeffery Allen via phone (813) 943-1684.
Contact Information
Primary practice address
905 E Mlk Dr Ste 390
Tarpon Springs FL 34689-4828
Phone: (727) 940-7664
Fax: (727) 940-7710
Website:
Authorized official contact:
Name: Prosser, Jeffery Allen Doctor of Medicine (MD)
Phone: (813) 943-1684
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 81606 | Florida |
Profile Details
| NPI number | 1366888166 |
|---|---|
| LBN Legal business name | Jeffery A. Prosser, M.D. |
| DBA Doing business as | |
| Authorized official | Prosser, Jeffery Allen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2013 |
| Last updated | Oct 27th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366888166 | NPPES |
| Florida | Other | 330394 | MEDICARE PROVIDER # |
| Florida | MEDICAID | 00614755 | MEDICARE PROVIDER # |
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