Healthcare Provider Details

I. General information

NPI: 1053309955
Provider Name (Legal Business Name): BARBARA ANN DZIUBINSKI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 SEMINOLE BLVD SUITE 104
SEMINOLE FL
33772-2562
US

IV. Provider business mailing address

9555 SEMINOLE BLVD SUITE 104
SEMINOLE FL
33772-2562
US

V. Phone/Fax

Practice location:
  • Phone: 727-394-1500
  • Fax: 727-394-1505
Mailing address:
  • Phone: 727-394-1500
  • Fax: 727-394-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1072652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: