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Contact Information

JENNIFER R GERGES, MPAS, PA-C
508 N MARYLAND AVE.
PLANT CITY FAMILY CARE
PLANT CITY, FL33563
 Phone: 813-349-7600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER R GERGES · (Female)

NPI Number 1508884461
Status Active
Credentials MPAS, PA-C
Entity Individual
Enumeration date 07/18/2006
Last updated 12/21/2012 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # FLPA9101586
  • FL License # PA9101586
  • FL Medicaid 291018700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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