Michael Jenkins Valid NPI
Individual provider · Physician Assistant · Stuart, FL
- NPI
- 1104319300
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA9112013 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-06-12
- Last updated
- 2022-12-07
Practice location
1050 Se Monterey Rd Ste 400
Stuart, FL 34994-4512
(772) 288-2400