JAY P LAVINA

TAMPA, FL
NPI1841246808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9102410)
Enumeration Date2006-05-25
Last Update Date2007-11-05
Business Address
-- JAY P LAVINA PAC
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 813-971-6000
Mailing Address
-- JAY P LAVINA PAC
12479 TELECOM DR
TAMPA, FL 33637-0913
Phone number: 813-972-4199