Evita B Henderson-Jacks in Tampa - Anatomic Pathology & Clinical Pathology

Evita B Henderson-Jacks - NPI 1578752598

Evita B Henderson-Jacks is a Anatomic Pathology & Clinical Pathology in Tampa, Florida. Evita B Henderson-Jacks practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Evita B Henderson-Jacks is 1578752598. The last update date is 2012-05-15.

Evita B Henderson-Jacks's current location address is 12902 Usf Magnolia Dr, Tampa, Florida. You can contact this provider via phone number 8137457487. The mailing address for Evita B Henderson-Jacks is 12902 Usf Magnolia Dr, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Evita B Henderson-Jacks
Address 12902 Usf Magnolia Dr, Tampa, Florida
Phone Number 8137457487
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1578752598
Provider Enumeration Date 2007-10-16
Last Updated Date 2012-05-15

Provider Mailing Address Detail

Address 12902 Usf Magnolia Dr
City Tampa
State Florida (FL)
Post Code 336129416
Phone Number 8137457487
Fax Number

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No ME104658
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14K4D FL BLUE CROSS BLUE SHIELD

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FAQs about Evita B Henderson-Jacks

What is the Evita B Henderson-Jacks's 1578752598?

The Evita B Henderson-Jacks's NPI (National Provider Identifier) Number is 1578752598. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Evita B Henderson-Jacks's physical address?

The Evita B Henderson-Jacks is physically located at 12902 Usf Magnolia Dr, in the city of Tampa, FL, with the postal code 336129416.

What is the area of specialization for Evita B Henderson-Jacks, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Evita B Henderson-Jacks is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this area of expertise is 207Zp0102X.

On what date did the Centers for Medicare & Medicaid Services assign the 1578752598 to Evita B Henderson-Jacks?

The Centers for Medicare & Medicaid Services assigned the 1578752598 to Evita B Henderson-Jacks on 2007-10-16.

When was the information regarding Evita B Henderson-Jacks most recently updated?

The details pertaining to the Evita B Henderson-Jacks, including its address, specialty, and other relevant information, were last refreshed on 2012-05-15.

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