Provider Demographics
NPI:1356368203
Name:HESS, JEFFREY BRUCE (MD)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:BRUCE
Last Name:HESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601-5 STREET SOUTH
Mailing Address - Street 2:SUITE 601
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4804
Mailing Address - Country:US
Mailing Address - Phone:727-767-4393
Mailing Address - Fax:727-767-8668
Practice Address - Street 1:601-5 STREET SOUTH
Practice Address - Street 2:SUITE 601
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701
Practice Address - Country:US
Practice Address - Phone:727-767-4393
Practice Address - Fax:727-767-8668
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME19889207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL036527100Medicaid
D70660Medicare UPIN
FL036527100Medicaid