Jared Devirgilis, PA-C

Surgical Physician Assistant · Bradenton, FL

Individual Active NPI

NPI number 1548719065

Practice location

206 2ND St E
Bradenton, FL 34208-1042
Phone
(941) 746-5111
Fax
(941) 745-7233

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NPI record

NPI
1548719065
Entity type
Individual (Type 1)
Enumeration date
September 26, 2016
Last updated
May 21, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X PA 9109796 FL

Mailing address

367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone
(941) 746-5111

Other practice locations (1)

  • 1895 Kingsley Ave Ste 300, Orange Park, FL 32073-4453 · (904) 263-5557

About Jared Devirgilis

Jared Devirgilis, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 206 2ND St E, Bradenton, FL 34208-1042. The NPI number 1548719065 was assigned on September 26, 2016 and the record was last updated on May 21, 2019.

Jared Devirgilis lists a license in the registry: #PA 9109796 (FL) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared Devirgilis, PA-C?

The NPI number is 1548719065.

What is the phone number of Jared Devirgilis?

The phone number listed for the practice location is (941) 746-5111.

Where is Jared Devirgilis located?

206 2ND St E, Bradenton, FL 34208-1042.

What is the taxonomy code for Jared Devirgilis?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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