Gay, Jack N.

Gay, Jack N. is an individual health care provider with primary practice located at 1301 2Nd Ave Sw , Largo FL 33770-3120. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gay, Jack N. can be contacted via phone (727) 935-0500.

Contact Information

Primary practice address
1301 2Nd Ave Sw Largo FL 33770-3120
Phone: (727) 935-0500
Fax: (727) 935-0501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X ME58150 Florida
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X ME58150 Florida
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X ME58150 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME58150 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME58150 Florida

Profile Details

NPI number 1720014897
LBN Legal business name Gay, Jack N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 1st, 2022 - about 2 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 1720014897 NPPES
Florida MEDICAID 261649100

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