Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenna Nicole Caputo, PA-C

Individual provider Physician Assistant · NPI 1053109272

Jenna Nicole Caputo, PA-C is a Physician Assistant in Brandon, Florida. Qualified in 2025, 1 year ago. Practices with Suncoast Skin Solutions, a 99-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 Vonderburg Dr Ste 115W
Brandon, FL 33511-5969
Phone: (813) 535-6212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120130 (FL)

Record details

NPI number1053109272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 28, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Suncoast Skin Solutions — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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