Niebles, Jacqueline Maria

Niebles, Jacqueline Maria is an sole proprietor health care provider with primary practice located at 14499 N Dale Mabry Hwy Suite 180-S, Tampa FL 33618-2078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Niebles, Jacqueline Maria can be contacted via phone (813) 501-3710.

Contact Information

Primary practice address
14499 N Dale Mabry Hwy Suite 180-S Tampa FL 33618-2078
Phone: (813) 501-3710
Fax: (813) 513-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME66997 Florida

Profile Details

NPI number 1356339568
LBN Legal business name Niebles, Jacqueline Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated May 3rd, 2017 - about 9 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 1356339568 NPPES
Florida Other 19311 WELLCARE
Florida Other 255357 WELLCARE
Florida Other 26241 WELLCARE
Florida Other 2840575003 WELLCARE
Florida Other 212684 WELLCARE
Florida Other 2238087 WELLCARE
Florida MEDICAID 376077400 WELLCARE
Florida Other 19311 WELLCARE

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