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NPI Code Detail

MEDICARE: JONAPHINE PRICE

MEDICARE: JONAPHINE PRICE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1295085041
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONAPHINE PRICE
Provider Business Mailing Address
First Line : 312 MISSION HILLS AVE
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-4833
Country : US
Telephone Number : 813-263-5920
Fax Number : 813-490-5495
Provider Business Practice Location Address
First Line : 312 MISSION HILLS AVE
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-4833
Country : US
Telephone Number : 813-263-5920
Fax Number : 813-490-5495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 09/19/2012

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Directions to “ JONAPHINE PRICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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