The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc

NPI #1386178739 in Tampa, Florida

Provider Information

NPI Number: 1386178739
Entity Type: Organization
Organization Name: The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Apr 12, 2017
Last Updated: Apr 19, 2017

Practice Location

Address: 14499 NORTH DALE MABRY HWY, SUITE 180-S
City: Tampa
State: Florida
ZIP Code: 34683
Phone: (727) 481-8075

Authorized Official

Name: JACQUELINE MARIA NIEBLES, M.D
Title: DIRECTOR
Phone: (727) 481-8075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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