Farias, Jerrica
Farias, Jerrica is an sole proprietor health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Farias, Jerrica can be contacted via phone (813) 974-9273.Contact Information
Primary practice address
13330 Usf Laurel Dr
Tampa FL 33612-6601
Phone: (813) 974-9273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 9351801 | Florida |
Profile Details
| NPI number | 1740674480 |
|---|---|
| LBN Legal business name | Farias, Jerrica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2015 |
| Last updated | Apr 7th, 2021 - about 3 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 | 1740674480 | NPPES |
| Florida | MEDICAID | 015089000 | |
| Florida | Other | Y0S4Z |
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