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NPI Code Detail

MEDICARE: DR. JEVNE LYNN DRAPP AU.D.

MEDICARE: DR. JEVNE LYNN DRAPP AU.D.
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
1231H00000XAudiologistAY000646FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245330919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEVNE LYNN DRAPP AU.D.
Provider Business Mailing Address
First Line : 2704 VIOLA LN
Second Line :
City : VALRICO
State : FL
Zip : 33594-7510
Country : US
Telephone Number : 813-689-7292
Fax Number :
Provider Business Practice Location Address
First Line : 12220 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-9201
Country : US
Telephone Number : 813-631-5015
Fax Number : 813-631-5040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2006
Last Update Date : 07/08/2007

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