MEDICARE: MS. JIHANE BAHBAZ

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	163WE0003X	Emergency Registered Nurse	908139	NY
2	163W00000X	Registered Nurse	RN9696094	FL

General Provider Information

NPI Number	:	1114883923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JIHANE BAHBAZ

Provider Business Mailing Address
First Line	:	8416 TIDAL BREEZE DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-4722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8416 TIDAL BREEZE DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-4722
Country	:	US
Telephone Number	:	813-766-5002
Fax Number	:

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

Provider Enumeration Date	:	12/25/2025
Last Update Date	:	12/25/2025

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Directions to “ MS. JIHANE BAHBAZ ” Practice Location

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