Provider Information for 1366867608
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JENNIFER DOBRIN
Sex: Female
NPI: 1366867608
Last Updated: 2024-04-17
Certification Date: 2024-04-17
Certification Date: 2024-04-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366867608 | ||||||||
| Enumeration Date | 2014-02-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 10970 SAINT PETERSBURG, FL 33733-0970 United States Phone: 727-327-7656 | Fax: | ||||||||
| Primary Practice Address | 928 22ND AVE S SAINT PETERSBURG, FL 33705-2934 United States Phone: 727-327-7656 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|