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NPI Code Detail

MEDICARE: JENNA RENEE DONOSO D.O.

MEDICARE:   JENNA RENEE DONOSO  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS13251FL
2208000000XPediatrics PhysicianOS13251FL

General Provider Information

NPI Number : 1033485131
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA RENEE DONOSO D.O.
Provider Business Mailing Address
First Line : 2420 W MISSISSIPPI AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-6110
Country : US
Telephone Number : 813-350-9090
Fax Number :
Provider Business Practice Location Address
First Line : 2420 W MISSISSIPPI AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-6110
Country : US
Telephone Number : 813-350-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2012
Last Update Date : 01/24/2024

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Directions to “ JENNA RENEE DONOSO D.O.” Practice Location

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