Nunez, Jackeline

Nunez, Jackeline is an individual health care provider with primary practice located at 5425 Park St N Ste 7W , St Petersburg FL 33709-7042. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Nunez, Jackeline can be contacted via phone (727) 202-8140.

Contact Information

Primary practice address
5425 Park St N Ste 7W St Petersburg FL 33709-7042
Phone: (727) 202-8140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ACN487 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ACN487 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ACN487 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN487 Florida

Profile Details

NPI number 1912032558
LBN Legal business name Nunez, Jackeline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated May 3rd, 2024 - about 2 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 1912032558 NPPES
Florida Other ACN487 FL MEDICAL LICENSE
Florida MEDICAID 010963800 FL MEDICAL LICENSE

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