Ellen Verena Jorgensen MD

NPI 1003826744 - Pediatrics - 208000000X

NPI Details
NPI 1003826744
Gender Female
Enumeration Date 08/08/2006
Last Updated 12/18/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
12901 BRUCE B DOWNS BLVD
MDC 15
TAMPA FL, 33612-4742, US
Phone (813) 974-2583
Fax
Business Location
PO BOX 917770
ORLANDO FL, 32891-7770, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME54437
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According to our database, Ellen Verena Jorgensen MD NPI is 1003826744, taxonomy code is 208000000X and license number is ME54437, license state is located at Florida. Ellen Verena Jorgensen MD physically located at 12901 Bruce B Downs Blvd, Tampa FL, 33612-4742. NPI Number Ellen Verena Jorgensen MD has the Individual type.

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1003826744 NPI number is provided on an as is basis without warranty of any kind. 1003826744 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Verena Jorgensen MD are for informational purposes only.