=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427601491
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DIVINE CARE MANAGEMENT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2019
-----------------------------------------------------
Last Update Date | 09/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1012 DRUID RD E STE B
-----------------------------------------------------
City | CLEARWATER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33756-5606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-434-7651
-----------------------------------------------------
Fax | 813-200-8449
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6414 NIKKI LN
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33625-1645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-918-0611
-----------------------------------------------------
Fax | 813-200-8449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NP MANAGER
-----------------------------------------------------
Name | MS. JOCELYN LOBRIN BARLAAN
-----------------------------------------------------
Credential | ARNP
-----------------------------------------------------
Telephone | 813-434-7651
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------