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1841246808
JAY P LAVINA
TAMPA, FL
NPI
1841246808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9102410)
Enumeration Date
2006-05-25
Last Update Date
2007-11-05
Business Address
-- JAY P LAVINA PAC
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 813-971-6000
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Mailing Address
-- JAY P LAVINA PAC
12479 TELECOM DR
TAMPA, FL 33637-0913
Phone number: 813-972-4199
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