Jennifer Michelle Divine
MOHS-Micrographic Surgeon
12901 Bruce B Downs Blvd Mdc 41
Tampa
, Florida 33612-4742
Jennifer Michelle Divine
MOHS-Micrographic Surgeon
12901 Bruce B Downs Blvd Mdc 41
Tampa
, Florida 33612-4742
Write a Review Share Save Call
About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Jennifer Michelle Divine
- 1260 Doctor's Lane
- Fort Collins, CO
- Zip : 80524
- Phone :
Second Address
- Jennifer Michelle Divine
- 12901 Bruce B Downs Blvd Mdc 41
- Tampa, FL
- Zip : 33612-4742
- Fax : (813) 974-8359
- Phone : (813) 844-7412
Reviews
FAQs
Where did Jennifer Michelle Divine attend graduate school?
Where did Jennifer Michelle Divine do her residency?
Where did Jennifer Michelle Divine do her fellowship?
Is Jennifer Michelle Divine board certified?
What type of doctor is Jennifer Michelle Divine
In what state does Jennifer Michelle Divine practice in?
Where is Jennifer Michelle Divine ’s practice located?
What is Jennifer Michelle Divine ’s gender?
Is Jennifer Michelle Divine a sole practitioner?
Is Jennifer Michelle Divine accepting new patients?
What languages does Jennifer Michelle Divine speak?
Does Jennifer Michelle Divine accept insurance?
Does Jennifer Michelle Divine offers telemedicine?
What is Jennifer Michelle Divine ’s professional license number?
What is Jennifer Michelle Divine ’s NPI number?
Does Jennifer Michelle Divine have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | DR.0058205 | CO |
| N | 207ND0101X | MOHS-Micrographic Surgeon | ME 131766 | FL |
National Provider Identifier
| NPI | 1063779072 |
|---|---|
| Provider Name | Jennifer Michelle Divine |
| First Address | Fort Collins, CO 80524 |
| Second Address | Tampa, FL 33612-4742 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2012 |
| Last Update Date | 06/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.