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NPI Code Detail

MEDICARE: DR. TORIQUIC JABA DUNKLEY NURSE PRACTITIONER

MEDICARE: DR. TORIQUIC JABA DUNKLEY NURSE PRACTITIONER
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
1363LA2200XAdult Health Nurse PractitionerARNP907759FL
2363LG0600XGerontology Nurse PractitionerARNP907759FL
3363L00000XNurse PractitionerARNP907759FL
4363LA2200XAdult Health Nurse PractitionerGAA-NP004200GA
5363L00000XNurse PractitionerGAA-NP004200GA

General Provider Information

NPI Number : 1992287700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TORIQUIC JABA DUNKLEY NURSE PRACTITIONER
Provider Business Mailing Address
First Line : PO BOX 1289
Second Line :
City : TAMPA
State : FL
Zip : 33601-1289
Country : US
Telephone Number : 813-844-7473
Fax Number : 813-844-1966
Provider Business Practice Location Address
First Line : 80 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3050
Country : US
Telephone Number : 470-637-8152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 01/08/2026

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