Individual provider · Type 1 NPI

Jared Devirgilis, PA-C

Surgical Physician Assistant · Bradenton, FL

NPI number 1548719065 Active

Practice location

206 2nd St E
Bradenton, FL 34208-1042

Call (941) 746-5111 Map

Fax (941) 745-7233

Mailing address

367 S. Gulph Rd, Attn: Ipm Credentialing
King Of Prussia, PA 19406-3121

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 9109796 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1548719065

Jared Devirgilis, PA-C's National Provider Identifier is 1548719065, issued on Sep 26, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bradenton, FL. The record was last updated on May 21, 2019.