Mayer, Jennifer Root

Mayer, Jennifer Root is an individual health care provider with primary practice located at 501 6Th Ave S Dept 6941, St Petersburg FL 33701-4634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Mayer, Jennifer Root can be contacted via phone (727) 767-4429.

Contact Information

Primary practice address
501 6Th Ave S Dept 6941 St Petersburg FL 33701-4634
Phone: (727) 767-4429
Fax: (727) 767-4970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME68106 Florida
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME68106 Florida

Profile Details

NPI number 1770534802
LBN Legal business name Mayer, Jennifer Root
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated May 3rd, 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 1770534802 NPPES
Florida MEDICAID 379718000

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