Healthcare Provider Details

I. General information

NPI: 1184604035
Provider Name (Legal Business Name): JENNIFER D'ABARNO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 E MARION AVE STE 139
PUNTA GORDA FL
33950-3863
US

IV. Provider business mailing address

713 E MARION AVE STE 139
PUNTA GORDA FL
33950-3863
US

V. Phone/Fax

Practice location:
  • Phone: 941-205-2666
  • Fax: 941-205-2665
Mailing address:
  • Phone: 941-833-1750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME126254
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: