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NPI Code Detail

MEDICARE: TRENACE DUBREUIL M.D.

MEDICARE: TRENACE DUBREUIL M.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
1207V00000XObstetrics & Gynecology Physician22347AL
2207V00000XObstetrics & Gynecology PhysicianME112841FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051008352OTHERALBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
351020567OTHERALBCBS

General Provider Information

NPI Number : 1881623783
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRENACE DUBREUIL M.D.
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-405-3722
Provider Business Practice Location Address
First Line : 302 W FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3415
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-405-3722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 08/11/2016

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