Lipscomb, Jeffrey Todd

Lipscomb, Jeffrey Todd is an individual health care provider with primary practice located at 455 Pinelias St Ste 400, Clearwater FL 33756-3356. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lipscomb, Jeffrey Todd can be contacted via phone (727) 445-1911.

Contact Information

Primary practice address
455 Pinelias St Ste 400 Clearwater FL 33756-3356
Phone: (727) 445-1911
Fax: (727) 445-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2374 Florida

Profile Details

NPI number 1558350124
LBN Legal business name Lipscomb, Jeffrey Todd
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Oct 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558350124 NPPES
Florida MEDICAID 291252000

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