Mccann, Jesse Thomas

Mccann, Jesse Thomas is an individual health care provider with primary practice located at 1360 E Venice Ave , Venice FL 34285-9066. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Mccann, Jesse Thomas can be contacted via phone (941) 488-2020.

Contact Information

Primary practice address
1360 E Venice Ave Venice FL 34285-9066
Phone: (941) 488-2020
Fax: (941) 484-2200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME132807 Florida
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 270516 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME132807 Florida

Profile Details

NPI number 1124319066
LBN Legal business name Mccann, Jesse Thomas
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2011
Last updated Feb 24th, 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 1124319066 NPPES
Florida Other 4PPP5 FLORIDA BLUE
Florida MEDICAID 021181600 FLORIDA BLUE

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