JACOB WASSERMAN
NPI 1275114647
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since April 17, 2021
560 CHANNELSIDE DR, TAMPA, FL 33602(813) 396-0075 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Wasserman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB WASSERMAN (NPI 1275114647) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2021. He maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1275114647
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB WASSERMAN
Location Address560 CHANNELSIDE DRTampa, FL 33602-5620
Mailing Address2901 W Stovall StTampa, FL 33629-8170
Sole ProprietorYes
Enumeration DateApril 17, 2021
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1275114647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
560 CHANNELSIDE DR, Tampa, FL 33602

Secondary Practice Location 1

Location 117 Davis Blvd Ste 308Tampa, FL 33606 · Phone (813) 974-2201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
560 CHANNELSIDE DR
TAMPA, FL 33602
Physician Assistant
560 CHANNELSIDE DR
TAMPA, FL 33602
Student in an Organized Health Care Education/Training Program
560 CHANNELSIDE DR
TAMPA, FL 33602
Specialist/Technologist (Athletic Trainer)
560 CHANNELSIDE DR
TAMPA, FL 33602
Student in an Organized Health Care Education/Training Program
560 CHANNELSIDE DR
TAMPA, FL 33602
Student in an Organized Health Care Education/Training Program
560 CHANNELSIDE DR
TAMPA, FL 33602
Student in an Organized Health Care Education/Training Program
560 CHANNELSIDE DR
TAMPA, FL 33602
Student in an Organized Health Care Education/Training Program
560 CHANNELSIDE DR
TAMPA, FL 33602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Wasserman's NPI number?

The NPI number for Jacob Wasserman is 1275114647. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Where is Jacob Wasserman located?

Jacob Wasserman practices at 560 Channelside Dr, Tampa, FL 33602. The listed phone number is (813) 396-0075.

What is Jacob Wasserman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Wasserman was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.