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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

NPI Number 1386178739
LBN Legal business name THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC
Authorized official JACQUELINE NIEBLES - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2017
Last updated 04/19/2017 - About 9 years ago
Identifiers
FL License # ME66997
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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