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NPI Code Detail

MEDICARE: DR. JENNIFER CARBONE M.D.

MEDICARE: DR. JENNIFER CARBONE 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
1208M00000XHospitalist PhysicianME143448FL
2208000000XPediatrics PhysicianME143448GA
3208000000XPediatrics PhysicianME0128842FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033504600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER CARBONE M.D.
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-5651
Fax Number : 239-343-5652
Provider Business Practice Location Address
First Line : 9981 S HEALTHPARK DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3618
Country : US
Telephone Number : 239-343-5651
Fax Number : 239-343-5652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 03/06/2026

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Directions to “ DR. JENNIFER CARBONE M.D.” Practice Location

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