Most Relevant Information
Provider Data
| NPI Number: | 1003447038 |
| Provider Name: | JENNIFER ALSINA GUTIERREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9116087 |
Most Important Dates
| Enumeration Date: | 01/29/2020 |
| Last Updated: | 03/22/2024 |
Provider Practice Location
2400 KATHLEEN RD
LAKELAND
FL
338103077
Practice Location Phone/Fax
| Phone: | 8632845000 |
| Fax: |
Provider Mailing Location
4715 DIMBATH DR
LAKELAND
FL
338132055
Provider Mailing Phone/Fax
| Phone: | 8632720185 |
| Fax: |