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THE CHILDRENS DOCTOR OF TAMPABAY JACQUELIN ENIEBLES MD PLLC NPI 1386178739


NPI Information

NPI: 1386178739
Provider Name: THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
14499 NORTH DALE MABRY HWY, SUITE 180-S
TAMPA, FL
ZIP 34683
Phone: (727) 481-8075
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THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC is a pediatrics in Tampa, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC NPI is 1386178739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14499 NORTH DALE MABRY HWY, SUITE 180-S
TAMPA, FL
ZIP 34683
Phone: (727) 481-8075

The provider's authorized official is Jacqueline Maria Niebles .
The authorized official title is Director and has the following contact phone number (727) 481-8075.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME66997FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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