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Dr. Jessica Perkins Domitrovic, MD
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1932786241

Jessica Perkins Domitrovic is a Student in an Organized Health Care Education/Training Program based in Orange Park, FL. Jessica Perkins Domitrovic practices in Orange Park, FL and has the professional credentials of MD. The NPI Number for Jessica Perkins Domitrovic is 1932786241 and holds a License No. (Florida).

The current practice location address for Jessica Perkins Domitrovic is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-2000 and via fax at 904-639-2015.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932786241
Provider Name
Jessica Perkins Domitrovic
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2001 Kingsley Ave, Orange Park, FL, 32073-5156
Phone Number
904-639-2000
Fax Number
904-639-2015
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5156
Phone Number
904-639-2000
Fax Number
904-639-2015
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5156
Phone Number
904-639-2000
Fax Number
904-639-2015
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.
(Florida)
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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