| Jenifer Haynes, DO | |
|
11260 Sullivan St, Riverview, FL 33578-2140 | |
| (813) 689-7571 | |
| (813) 654-8129 |
| Full Name | Jenifer Haynes |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 11260 Sullivan St, Riverview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356736094 | NPI | - | NPPES |
| 100211600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS15471 (Florida) | Primary |
| Entity Name | Tampa Family Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356347413 PECOS PAC ID: 1254243769 Enrollment ID: O20110105001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenifer Haynes, DO 900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923 Ph: (813) 689-7571 | Jenifer Haynes, DO 11260 Sullivan St, Riverview, FL 33578-2140 Ph: (813) 689-7571 |
Dr. Heather Sue Thole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11948 Balm Riverview Rd, Riverview, FL 33569 Phone: 813-236-9000 Fax: 813-236-9002 | |
Dr. Peter Allen Kosoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9406 Balm Riverview Road, Riverview, FL 33569 Phone: 813-236-9310 Fax: 813-236-9311 | |
Christina Estrada Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Gerard R Hough, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11122 Circle Press Ln, Riverview, FL 33578 Phone: 813-681-1410 | |
Dr. Tanya Michelle Liberato, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Joseph Leon Portnoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4035 Crescent Park Dr, Riverview, FL 33578 Phone: 813-775-4030 | |
Cady Rodney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11260 Sullivan St, Riverview, FL 33578 Phone: 813-689-7571 Fax: 813-654-8129 |