Provider Demographics
NPI:1316045479
Name:JUBAY, LYNETTE K (PA)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:K
Last Name:JUBAY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:424 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-7602
Mailing Address - Country:US
Mailing Address - Phone:727-734-7337
Mailing Address - Fax:727-216-3883
Practice Address - Street 1:424 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-7602
Practice Address - Country:US
Practice Address - Phone:727-734-7337
Practice Address - Fax:727-216-3883
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2022-03-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant