MEDICARE: JANINE DUBROW M.S.

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	235Z00000X	Speech-Language Pathologist	SA283	FL

General Provider Information

NPI Number	:	1467864835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE DUBROW M.S.

Provider Business Mailing Address
First Line	:	4145 SALTWATER BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5638
Country	:	US
Telephone Number	:	813-885-9983
Fax Number	:

Provider Business Practice Location Address
First Line	:	4145 SALTWATER BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5638
Country	:	US
Telephone Number	:	813-885-9983
Fax Number	:

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

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	05/20/2014

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Directions to “ JANINE DUBROW M.S.” Practice Location

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