MR. Paul Thomas Jennings, P.A.-C

NPI #1457602468 in Titusville, Florida

Provider Information

NPI Number: 1457602468
Entity Type: Individual
Name: MR. Paul Thomas Jennings, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Oct 1, 2012
Last Updated: Oct 1, 2012

Practice Location

Address: 951 N WASHINGTON AVE
City: Titusville
State: Florida
ZIP Code: 32796-2163
Phone: (321) 268-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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