Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | OS9634 | FL |
NPI | 1184771891 |
---|---|
Provider Name | Dr. Darlene L. Jones |
First Address | Clearwater, FL 33765-2031 |
Second Address | Tampa, FL 33616-1414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 07/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3319516 | (05) | TN |
I39041 | (02) |