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Contact Information

JESSICA IBANEZ, MD
12902 USF MAGNOLIA DR
TAMPA, FL33612-9416
 Phone: 813-745-4673
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JESSICA IBANEZ · (Female)

NPI # 1912360777
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2016
Last updated 03/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME149925
  • MA License # 283381
Hospital affiliation(s)
  • H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE I - (Acute Care)
    12902 MAGNOLIA DR
    TAMPA, FL 33612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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