TRENACE DUBREUIL (NPI# 1881623783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881623783 |
| Entity Type | Individual |
| Full Name | TRENACE DUBREUIL |
| Credential | M.D. |
| Practice Address |
302 W Fletcher Ave Tampa FL 33612-3415 |
| Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
| Practice Telephone | 8138660930 |
| Practice Fax Number | 8134053722 |
| Mailing Telephone | 8138660930 |
| Mailing Fax Number | 8134053722 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME112841 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 22347 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 051008352 | 01 |
| FL | 0170723783 | 05 | |
| AL | BCBS | 51020567 | 01 |
| Street Address |
302 W FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942246210 | David Leopoldo Lopez | Pediatrics | 302 W Fletcher Ave, Tampa, FL 33612 | 2006-06-22 |
| 1285244541 | Ericka Danielle Gray | Dentist | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2020-08-03 |
| 1144863069 | America Delgado | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-10-23 |
| 1235780537 | Nicolle A Abelow | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-09-27 |
| 1336792464 | Diana Gonzalez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-07-18 |
| 1851863872 | Tiara Ross | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-01-02 |
| 1861987752 | Simona Ivanov | Dentist | 302 W Fletcher Ave, Tampa, FL 33612 | 2018-06-25 |
| 1396237400 | Amanda Lape | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-06-04 |
| 1558866939 | Jeanie Marie Menendez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-03-27 |
| 1649771239 | Lakeshia Wynn | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459563 | Tampa Bay Premier Obgyn Pllc | Obstetrics & Gynecology | 2727 W Dr Mlk Blvd Ste 630, Tampa, FL 33607-6399 | 2019-04-02 |
| 1033512264 | Tampa Obstetrics, P.a. | Obstetrics & Gynecology | 4503 North 22nd Street, Tampa, FL 33610-6201 | 2014-10-02 |
| 1902209257 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 4503 N 22nd St, Tampa, FL 33610-6201 | 2014-10-01 |
| 1710388814 | Ana Maria Fraguada | Obstetrics & Gynecology | 3450 E Fletcher Ave Ste 110, Tampa, FL 33613-4603 | 2014-09-08 |
| 1245659010 | Pawan Kumar Rattan | Obstetrics & Gynecology | 612 E Davis Blvd, Tampa, FL 33606-3922 | 2014-04-09 |
| 1356760359 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 | 2014-04-08 |
| 1124459326 | Michael Fernandez | Obstetrics & Gynecology | 13806 Khilani Ct, Tampa, FL 33624-6919 | 2013-12-12 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| 1992140677 | Wilfredo Nicolas Herrera | Obstetrics & Gynecology | 2727 W Dr. Mlk Jr Blvd, Ste 630, Tampa, FL 33607 | 2013-05-08 |
| 1912244831 | William Larry Capps | Obstetrics & Gynecology | 577 Luzon Ave, Tampa, FL 33606-3623 | 2013-01-11 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.