MEDICARE: MRS. BARBARA ANN DZIUBINSKI ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP1072652	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1053309955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA ANN DZIUBINSKI ARNP

Provider Business Mailing Address
First Line	:	9555 SEMINOLE BLVD
Second Line	:	SUITE 104
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2562
Country	:	US
Telephone Number	:	727-394-1500
Fax Number	:	727-394-1505

Provider Business Practice Location Address
First Line	:	9555 SEMINOLE BLVD
Second Line	:	SUITE 104
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2562
Country	:	US
Telephone Number	:	727-394-1500
Fax Number	:	727-394-1505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	08/29/2013

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