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Contact Information

THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC
14499 NORTH DALE MABRY HWY, SUITE 180-S
TAMPA, FL34683
 Phone: 727-481-8075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for THE CHILDRENS DOCTOR OF TAMPABAY JACQUELIN ENIEBLES MD PLLC · (Female)

NPI Number 1386178739
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2017
Last updated 04/19/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME66997
Hospital affiliation(s) Not Available
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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