Jay Raleigh Humphrey, PHYSICIAN ASSISTANT

NPI #1497977235 in Venice, Florida

Provider Information

NPI Number
1497977235
Entity Type
Individual
Name
Jay Raleigh Humphrey, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
May 2, 2007
Last Updated
Aug 23, 2024

Practice Location

Address
8036 S TAMIAMI TRAIL
City
Venice
State
Florida
ZIP Code
34293-5113
Phone
(941) 244-4300

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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