Gregory Jefferson in Temple Terrace - Orthopedic

Gregory Jefferson - NPI 1174602031

Gregory Jefferson is a Orthopedic in Temple Terrace, Florida. Gregory Jefferson practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Gregory Jefferson is 1174602031. The last update date is 2015-10-21.

Gregory Jefferson's current location address is 13020 N Telecom Pkwy, Temple Terrace, Florida. You can contact this provider via phone number 8139789700 and fax number 8135586419. The mailing address for Gregory Jefferson is 13020 N Telecom Pkwy, Temple Terrace, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Jefferson
Address 13020 N Telecom Pkwy, Temple Terrace, Florida
Phone Number 8139789700
Fax Number 8135586419
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1174602031
Provider Enumeration Date 2006-11-03
Last Updated Date 2015-10-21

Provider Mailing Address Detail

Address 13020 N Telecom Pkwy
City Temple Terrace
State Florida (FL)
Post Code 336370925
Phone Number 8139789700
Fax Number 8135586419

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No PT23292
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

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FAQs about Gregory Jefferson

What is the unique provider identifier assigned to Gregory Jefferson?

The Gregory Jefferson has been issued the NPI (National Provider Identifier) 1174602031 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gregory Jefferson's facilities are geographically located?

The facilities of Gregory Jefferson are physically situated at the following location: 13020 N Telecom Pkwy, Temple Terrace, FL, 336370925.

What is the Gregory Jefferson's specialty and taxonomy code?

The Gregory Jefferson's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.

On what date did the Gregory Jefferson receive the assignment of its 1174602031 from the Centers for Medicare & Medicaid Services?

The Gregory Jefferson was issued its 1174602031 by the Centers for Medicare & Medicaid Services on 2006-11-03.

As of what date were the details pertaining to Gregory Jefferson last refreshed?

The information related to the Gregory Jefferson, including its address, specialty, and other relevant details, was last updated on 2015-10-21.

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