Prosser, Jeffery Allen
Prosser, Jeffery Allen is an sole proprietor health care provider with primary practice located at 905 E Martin Luther King Jr Dr Ste 390 , Tarpon Springs FL 34689-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prosser, Jeffery Allen can be contacted via phone (727) 940-7664.Contact Information
Primary practice address
905 E Martin Luther King Jr Dr Ste 390
Tarpon Springs FL 34689-4828
Phone: (727) 940-7664
Fax: (727) 940-7710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME81606 | Florida |
Profile Details
| NPI number | 1023154515 |
|---|---|
| LBN Legal business name | Prosser, Jeffery Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 29th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023154515 | NPPES |
| Florida | MEDICAID | 00614755 |
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