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Jac-lyn Mela, PA
Surgical Physician Assistant in St Petersburg, Florida
NPI 1578808945

Jac-lyn Mela is a Surgical Physician Assistant based in St Petersburg, FL and is specialized in Surgical. Jac-lyn Mela practices in St Petersburg, FL and has the professional credentials of PA. The NPI Number for Jac-lyn Mela is 1578808945 and holds a License No. PA9107044 (Florida).

The current practice location address for Jac-lyn Mela is 880 6Th St S Ste 320, St Petersburg, FL and can be reached out via phone at 727-767-8590.

Location: 880 6Th St S Ste 320, St Petersburg, FL, 33701-4824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578808945
Provider Name
Jac-lyn Mela
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
880 6Th St S Ste 320, St Petersburg, FL, 33701-4824
Phone Number
727-767-8590
Fax Number
Provider Enumeration Date
12/11/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0081289-00 05 FL
institution
Provider Business Practice Location Address Details
Address
880 6Th St S Ste 320
City
St Petersburg
State
Florida
Zip
33701-4824
Phone Number
727-767-8590
Fax Number
person
Provider Business Mailing Address Details
Address
880 6Th St S Ste 320
City
St Petersburg
State
Florida
Zip
33701-4824
Phone Number
727-767-8590
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA9107044 (Florida)
Definition
Definition to come...
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