MEDICARE: MRS. JENNIFER NICOLE WASKOVICH R.D., L.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
1	133V00000X	Registered Dietitian	ND4792	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AI178Y	OTHER	FL	MEDICARE

General Provider Information

NPI Number	:	1568654218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER NICOLE WASKOVICH R.D., L.D.

Provider Business Mailing Address
First Line	:	2002 E 26TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-1223
Country	:	US
Telephone Number	:	813-307-8015
Fax Number	:	813-272-5408

Provider Business Practice Location Address
First Line	:	2002 E 26TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-1223
Country	:	US
Telephone Number	:	813-307-8015
Fax Number	:	813-272-5408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	06/12/2013

Similar Medicare Providers

1376727099 — HILL-ROM COMPANY, INC.
Practice Location Address:

8507 BENJAMIN RD , SUITE C
TAMPA, FL
33634-1223

Practice Phone: 800-638-2546
Practice Fax:

1912132309 — JULIE DUDASH R.N.
Practice Location Address:

4010 WOODACRE LN
TAMPA, FL
33624-1223

Practice Phone: 813-416-0315
Practice Fax:

1538606322 — EPIC BODYWORK & MASSAGE
Practice Location Address:

4002 W STATE ST , 200
TAMPA, FL
33609-1223

Practice Phone: 813-898-0601
Practice Fax:

1609511120 — NICOLE ASHLEY HALPERN
Practice Location Address:

4007 W BAY VILLA AVE
TAMPA, FL
33611-1223

Practice Phone: 813-777-1184
Practice Fax:

1750067419 — ART OF PEACE COUNSELING & WELLNESS
Practice Location Address:

3820 BEECHWOOD BLVD
TAMPA, FL
33619-1223

Practice Phone: 813-563-1339
Practice Fax:

1780546226 — MS. LATRESA SHAWNITHA YOUNG
Practice Location Address:

1604 E 29TH AVE
TAMPA, FL
33605-1124

Practice Phone: 813-966-2127
Practice Fax:

Directions to “ MRS. JENNIFER NICOLE WASKOVICH R.D., L.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.