| Jessica Harrell Md Llc | |
|
13787 Belcher Rd S Ste 100 Largo FL 33771-4065 | |
| (727) 535-9899 | |
| Not Available |
| Full Name | Jessica Harrell Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13787 Belcher Rd S Ste 100, Largo, Florida |
| Authorized Official Name and Position | Jessica Harrell (OWNER) |
| Authorized Official Contact | 4073765553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Harrell Md Llc 13787 Belcher Rd S Ste 100 Largo FL 33771-4065 Ph: (727) 535-9899 | Jessica Harrell Md Llc 13787 Belcher Rd S Ste 100 Largo FL 33771-4065 Ph: (727) 535-9899 |
| NPI Number | 1992389126 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 6305241894 |
|---|---|
| Medicare Enrollment ID | O20210821000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992389126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Harrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578004768 PECOS PAC ID: 2466866710 Enrollment ID: I20210127001605 |
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