Jacqueline Blutcher Gollman, MD - General Practice in St. Petersburg, FL

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Jacqueline Blutcher Gollman, MD is a General Practice physician based in St. Petersburg, Florida. Jacqueline Blutcher Gollman is licensed to practice in Florida (license number ME 0037797) and her current practice location is 205 Martin Luther King, Jr. St. No., Pinellas County Health Department, St. Petersburg, Florida. She can be reached at her office (for appointments etc.) via phone at (727) 824-6900.

NPI number for Jacqueline Blutcher Gollman is 1215358981 and her current mailing address is P.o. Box 290919, Temple Terrace, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215358981.

Contact Information

Jacqueline Blutcher Gollman, MD
205 Martin Luther King, Jr. St. No., Pinellas County Health Department,
St. Petersburg, FL 33701-3109
(727) 824-6900
Not Available

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Physician's Profile

Full NameJacqueline Blutcher Gollman
GenderFemale
SpecialityGeneral Practice
Location205 Martin Luther King, Jr. St. No., St. Petersburg, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215358981
  • Provider Enumeration Date: 12/26/2013
  • Last Update Date: 12/26/2013

Medical Identifiers

Medical identifiers for Jacqueline Blutcher Gollman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215358981NPI-NPPES
06973100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ME 0037797 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Blutcher Gollman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Blutcher Gollman, MD
P.o. Box 290919,
Temple Terrace, FL 33687-0919

Ph: (813) 988-7844		Jacqueline Blutcher Gollman, MD
205 Martin Luther King, Jr. St. No., Pinellas County Health Department,
St. Petersburg, FL 33701-3109

Ph: (727) 824-6900

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General Practice Doctors in St. Petersburg, FL


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