JENNIFER JILL TITE


Address: 730 Malabar Rd, Malabar, FL 32950-3140
Phone: 3215490696

JENNIFER JILL TITE (NPI# 1396809968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396809968
Entity Type Individual
Full Name JENNIFER JILL TITE
Credential P.A.
Practice Address 730 Malabar Rd
Malabar
FL 32950-3140
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3215490696
Practice Fax Number 3214096821
Enumeration Date 2006-12-20
Last Update Date 2020-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9103633 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 292504400 05
FL RR MEDICARE P01313995 01

Office Location

Street Address 730 MALABAR RD
City MALABAR
State FL
Zip Code 32950-3140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770576332 Kyle R. Anderson Internal Medicine 730 Malabar Rd, Malabar, FL 32950-3140 2005-08-29
1245727379 Brandi Patten Nurse Practitioner 730 Malabar Rd, Malabar, FL 32950-3140 2018-04-14
1255615712 Michelle Pownall Nurse Practitioner 730 Malabar Rd, Malabar, FL 32950-3140 2011-10-03
1003109661 Sandra L Armstrong Nurse Practitioner 730 Malabar Rd, Malabar, FL 32950-3140 2011-05-16
1023043064 David Joseph Weldon Jr. Internal Medicine 730 Malabar Rd, Suite A, Malabar, FL 32950-3140 2006-07-11
1588696868 Lynn Maria Chacko Family Medicine 730 Malabar Rd, Malabar, FL 32950-3140 2006-07-07
1366470007 Mary Donadini Nurse Practitioner 730 Malabar Rd, Malabar, FL 32950-3140 2006-06-29
1174572895 Anthony W Adams Family Medicine 730 Malabar Rd, Suite B, Malabar, FL 32950-3140 2006-05-09
1013905645 Ashish K Ojha Family Medicine 730 Malabar Rd, Malabar, FL 32950-3140 2005-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417589771 Urgent Care Centers of Brevard County LLC Clinic/Center 730 Malabar Rd Ne, Ste B, Malabar, FL 32950 2020-02-05
1649741794 Joanne Schneider Technician 1731 Country Cove Circle, Malabar, FL 32950 2018-12-16
1760952667 Amy Nies Social Worker 1040 Steeplechase Cir, Malabar, FL 32950 2018-12-04
1548260326 Kiron Malhotra Internal Medicine 730 Malabar Rd Ste A, Malabar, FL 32950 2005-07-22
1467437004 Bhaskerrao P Patel Internal Medicine 730 Malabar Rd Ste A, Malabar, FL 32950 2005-12-07
1194052118 Charlene D Gilbert Home Health Aide 2165 Weber Rd, Malabar, FL 32950-3119 2009-11-12
1184286478 Mindy Leanne Strickland Nurse Practitioner 775 Malabar Rd, Malabar, FL 32950-3120 2019-07-08
1356853360 Tracy Zapanta Nurse Practitioner 775 Malabar Rd, Malabar, FL 32950-3120 2017-10-31
1518338839 Lakeecia Cannion Registered Nurse 775 Malabar Rd, Malabar, FL 32950-3120 2015-10-13
1801289707 Leigh Anne Potts Nurse Practitioner 775 Malabar Rd, Malabar, FL 32950-3120 2015-03-17
Find all providers in zip 32950

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669032025 Kelly Campbell Owens Physician Assistant 730 Malabar Rd Ste B, Malabar, FL 32950-3140 2019-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881295525 Asahel Romero Physician Assistant 13228 Canna Lily Dr, Orlando, FL 32824-5067 2020-11-07
1629679360 Samantha Lee Zavada Physician Assistant 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 2020-11-07
1235730177 Emily Figueroa Vega Physician Assistant 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 2020-11-06
1922609114 Jeannine Castaneda Calderon Physician Assistant 816 Arbor Pointe Ave, Minneola, FL 34715-6052 2020-11-04
1962003178 Mohammed Bilal Sheikh Physician Assistant 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 2020-11-04
1891396131 Whiplashmd, LLC Physician Assistant 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 2020-11-03
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1356941504 Kelsey Alexandra Leon Physician Assistant 5033 W Laurel St, Tampa, FL 33607-3855 2020-10-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City MALABAR
Zip Code 32950

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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