Individual ProviderMatthew JenkinsRegistered NurseNursing Service ProvidersPractice Address13000 Bruce B Downs Blvd, Tampa, FL 33612-4745(813) 972-2000(813) 316-8902PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Jenkins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821743683Provider TypeIndividualFull NameJenkins, MatthewGenderMaleSole ProprietorNoEnumeration Date2/19/2022Last Updated6/1/2022Contact InformationPractice LocationPractice Address13000 Bruce B Downs Blvd, Tampa, FL 33612-4745Phone(813) 972-2000FaxUnlisted FaxMailing LocationMailing Address12901 Bruce B. Downs Blvd., Mdc Box 22, Tampa, FL 33612Phone(813) 316-8902FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163WC0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN9342738FloridaCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11019611Florida