Gollman, Jacqueline Blutcher

Gollman, Jacqueline Blutcher is an individual health care provider with primary practice located at 205 Martin Luther King, Jr. St. No. Pinellas County Health Department, St. Petersburg FL 33701-3109. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Gollman, Jacqueline Blutcher can be contacted via phone (727) 824-6900.

Contact Information

Primary practice address
205 Martin Luther King, Jr. St. No. Pinellas County Health Department St. Petersburg FL 33701-3109
Phone: (727) 824-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME 0037797 Florida

Profile Details

NPI number 1215358981
LBN Legal business name Gollman, Jacqueline Blutcher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2013
Last updated Dec 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215358981 NPPES
Florida MEDICAID 06973100

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