Jeffery A. Prosser, M.D.

LBN: Jeffery A. Prosser, M.D.
Jeffery A. Prosser, M.D. is an health care organization with primary practice located at 905 E Mlk Dr Ste 390 , Tarpon Springs FL 34689-4828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jeffery A. Prosser, M.D. can be contacted via phone (727) 940-7664, or through Prosser, Jeffery Allen via phone (813) 943-1684.

Contact Information

Primary practice address
905 E Mlk Dr Ste 390 Tarpon Springs FL 34689-4828
Phone: (727) 940-7664
Fax: (727) 940-7710
Website:
Map and Directions
Authorized official contact:
Name: Prosser, Jeffery Allen Doctor of Medicine (MD)
Phone: (813) 943-1684

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 81606 Florida

Profile Details

NPI number 1366888166
LBN Legal business name Jeffery A. Prosser, M.D.
DBA Doing business as
Authorized official Prosser, Jeffery Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2013
Last updated Oct 27th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366888166 NPPES
Florida Other 330394 MEDICARE PROVIDER #
Florida MEDICAID 00614755 MEDICARE PROVIDER #

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