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Individual
JESSICA IBANEZ
Active
Individual
JESSICA IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
283381
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME149925
FL
208VP0014X
Interventional Pain Medicine Physician
ME149925
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/30/2016
Last updated
03/28/2022
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