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Jessica Sue Shostak, DO
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1023868775

Jessica Sue Shostak is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Jessica Sue Shostak practices in Tampa, FL and has the professional credentials of DO. The NPI Number for Jessica Sue Shostak is 1023868775 and holds a License No. (Florida).

The current practice location address for Jessica Sue Shostak is 17 Davis Blvd Ste 308, Tampa, FL and can be reached out via phone at 813-974-2201.

Location: 17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023868775
Provider Name
Jessica Sue Shostak
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Phone Number
813-974-2201
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
813-974-2201
Fax Number
person
Provider Business Mailing Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
813-974-2201
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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