Provider Demographics
NPI:1972778942
Name:KRAPF, JILL MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARIE
Last Name:KRAPF
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 1:3622 W PALMIRA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-6906
Mailing Address - Country:US
Mailing Address - Phone:412-999-8002
Mailing Address - Fax:
Practice Address - Street 1:3216 W AZEELE ST STE 2
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3018
Practice Address - Country:US
Practice Address - Phone:813-358-7634
Practice Address - Fax:813-291-7594
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5685207V00000X
DCMD039930207V00000X
FLME160588207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX351022402Medicaid
TX351022403OtherCSHCN