THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC (NPI# 1386178739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386178739 |
| Entity Type | Organization |
| Organization Name | THE CHILDRENS DOCTOR OF TAMPABAY, JACQUELIN ENIEBLES MD, PLLC |
| Practice Address |
14499 North Dale Mabry Hwy, Suite 180-s Tampa FL 34683 |
| Mailing Address |
1375 Indian Trails North Palm Harbor FL 34683 |
| Practice Telephone | 7274818075 |
| Mailing Telephone | 7274818075 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | JACQUELINE MARIA NIEBLES (DIRECTOR) |
| Authorized Official Telephone | 7274818075 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME66997 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
14499 NORTH DALE MABRY HWY, SUITE 180-S |
| City | TAMPA |
| State | FL |
| Zip Code | 34683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659939338 | Douglas W Webster | Social Worker | 3023 Us 19 Alternate, Suite 102, Palm Harbor, FL 34683 | 2019-05-29 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1154785855 | David Blair | Nurse Anesthetist, Certified Registered | 492 Lakeview Dr, 40, Palm Harbor, FL 34683 | 2016-04-08 |
| 1043688773 | Counseling Options LLC | Counselor | 2706 Alternate 19 N, Suite 219, Palm Harbor, FL 34683 | 2015-09-11 |
| 1295144699 | Charisse Renee Diaz | Counselor | 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 | 2014-08-11 |
| 1295153658 | Family Private Care Inc | Home Health | 3060 Alternate Us 19, Suite B-15, Palm Harbor, FL 34683 | 2014-04-02 |
| 1649696360 | Aghapy Care LLC | Psychologist | 989 Skye Lane, Palm Harbor, FL 34683 | 2014-03-06 |
| 1225465164 | Angel R Reale | Counselor | 2311 Alternate 19 N, Suite 1, Palm Harbor, FL 34683 | 2013-10-10 |
| 1699010660 | Pamela Ann Mullenbruck | Physical Therapy Assistant | 2208 Andover Circle, Palm Harbor, FL 34683 | 2012-12-03 |
| 1912268889 | Jana Elizabeth Antonelli | Nurse Practitioner | 749 Heathrow Lane, Palm Harbor, FL 34683 | 2012-06-06 |
| Find all providers in zip 34683 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1619498581 | Roger Avon Hughes IIi | Pediatrics | 4444 E Fletcher Ave Ste C, Tampa, FL 33613-4905 | 2017-06-30 |
| 1962933598 | Shaara Katherine Barron | Pediatrics | 17 Davis Blvd # 259-8725, Suite 308, Tampa, FL 33606-3475 | 2017-03-24 |
| 1194106203 | Luisa Gomez Mcelroy Md Pl | Pediatrics | 10860 Sheldon Rd, Tampa, FL 33626-5117 | 2015-06-15 |
| 1467857268 | Children Health Center | Pediatrics | 11464 N 53rd St, Tampa, FL 33617-2216 | 2014-10-23 |
| 1407250996 | Pediatric & Adolescent Health Associates, LLC | Pediatrics | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2014-10-13 |
| 1215268370 | Barbara Anne Nabrit-stephens | Pediatrics | 4704 Dunnie Dr, Tampa, FL 33614-1496 | 2010-01-28 |
| 1467685693 | Anecita Tan-donahue | Pediatrics | 13610 South Village Drive, Unit #312, Tampa, FL 33618 | 2009-09-04 |
| 1134363542 | Juliet Soscia Collins | Pediatrics | 10909 W. Linebaugh Avenue, Suite 100, Tampa, FL 33626-1741 | 2009-04-29 |
| 1164684510 | Julie Shamma | Pediatrics | 3001 W. Dr. Mlk. Jr. Blvd., Tampa, FL 33607 | 2008-06-26 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.