Prafke, Jill Marie

Prafke, Jill Marie is an individual health care provider with primary practice located at 2114 Airport Blvd Suite 1000, Pensacola FL 32504-8926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Prafke, Jill Marie can be contacted via phone (850) 476-3696.

Contact Information

Primary practice address
2114 Airport Blvd Suite 1000 Pensacola FL 32504-8926
Phone: (850) 476-3696
Fax: (850) 477-3573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME81007 Florida

Profile Details

NPI number 1437148814
LBN Legal business name Prafke, Jill Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 19th, 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 1437148814 NPPES
Florida Other 4608120 AETNA
Florida MEDICAID 260210500 AETNA
Florida Other A922 AETNA
Florida Other 2000269 AETNA
Florida Other 59082833 AETNA
Florida Other 6679791004 AETNA
Florida Other 51738 AETNA
Florida Other P00105335 AETNA

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