Kim M Jaqua (NPI# 1659533305, PAC ID# 6103991963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1659533305 |
| PAC ID by PECOS | 6103991963 |
| Professional Enrollment ID | I20080814000030 |
| Full Name | Kim M Jaqua |
| Address |
3957 58th St N Saint Petersburg FL 33709-6003 |
| Gender | F |
| Medical School | PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE |
| Graduation Year | 2008 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3957 58th St N, Saint Petersburg, FL 33709-6003 |
| Street Address |
3957 58TH ST N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip | 33709-6003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Shakira Tas | Cardiovascular Disease (cardiology) | Bay Area Heart Center Pa | 5398 Park St N, Suite A, St Petersburg, FL 33709-1041 |
| Mohammad Yamani | Internal Medicine | All Care Medical Consultants Pa | 5301 Park St N, St Petersburg, FL 33709-1042 |
| Jennifer Rebecca Chambers | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Eve L Massarsky | Physician Assistant | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Shannaz A Kazi | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Julian R Menendez | Podiatry | 5415 Park St N, Saint Petersburg, FL 33709-1087 | |
| Sushilla N Beecum | Internal Medicine | 7000 54th Ave N, St. Petersburg, FL 33709-1304 | |
| Meredith L Dykes | Nurse Practitioner | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| Lisa M Disanto | General Practice | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| George R Dunkelberger | Family Practice | Diagnostic Clinic Medical Group Inc | 6776 54th Ave N, Suite A, Saint Petersburg, FL 33709-1405 |
| Find all physicians in zip 33709 | |||
| City | SAINT PETERSBURG |
| Zip Code | 33709 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SAINT PETERSBURG + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kim M Jaqua.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.