Provider Demographics
NPI:1083668198
Name:JUARBE, MARIFEL (MD)
Entity Type:Individual
Prefix:
First Name:MARIFEL
Middle Name:
Last Name:JUARBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10839 DRAGONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-4044
Mailing Address - Country:US
Mailing Address - Phone:813-377-3338
Mailing Address - Fax:
Practice Address - Street 1:119 OAKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5779
Practice Address - Country:US
Practice Address - Phone:813-681-5551
Practice Address - Fax:813-654-7203
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL96542207P00000X
PR14715207P00000X
NC207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901702Medicaid
NCP00243247OtherRAILROAD MEDICARE
NC140KVOtherBLUE CROSS
NCP00243247OtherRAILROAD MEDICARE
NCI41479Medicare UPIN