Misechok, Jennifer L

Misechok, Jennifer L is an individual health care provider with primary practice located at 10 Pasadena Ave N , St Petersburg FL 33710-8330. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Misechok, Jennifer L can be contacted via phone (727) 381-2500.

Contact Information

Primary practice address
10 Pasadena Ave N St Petersburg FL 33710-8330
Phone: (727) 381-2500
Fax: (727) 343-8746
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X PA9103594 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103594 Florida

Profile Details

NPI number 1619952934
LBN Legal business name Misechok, Jennifer L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Nov 14th, 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 1619952934 NPPES
Florida Other PA9103594 LICENSE

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