Ibanez, Jessica
Ibanez, Jessica is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Ibanez, Jessica can be contacted via phone (813) 745-4673.Contact Information
Primary practice address
12902 Usf Magnolia Dr
Tampa FL 33612-9416
Phone: (813) 745-4673
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 283381 | Massachusetts |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME149925 | Florida |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME149925 | Florida |
Profile Details
NPI number | 1912360777 |
---|---|
LBN Legal business name | Ibanez, Jessica |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2016 |
Last updated | Mar 28th, 2022 - about 3 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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