Individual provider · Type 1 NPI

Jay Raleigh Humphrey, PHYSICIAN ASSISTANT

Medical Physician Assistant · Venice, FL

NPI number 1497977235 Active

Practice location

8036 S Tamiami Trail
Venice, FL 34293-5113

Call (941) 244-4300 Map

Fax (941) 244-4380

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002111 (CT)
Medical Physician Assistant Primary 363AM0700XPA9116008 (FL)

Medical Physician Assistant: Definition to come...

2 other providers at this address

Other medical physician assistant providers in Venice

See all in Venice →

About NPI 1497977235

Jay Raleigh Humphrey, PHYSICIAN ASSISTANT's National Provider Identifier is 1497977235, issued on May 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Venice, FL. The record was last updated on Aug 23, 2024.