Individual
JUDY A OGNIBENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2634 CAPITAL CIR NE BLDG C, TALLAHASSEE, FL 32308-4106
(850) 523-3289
(850) 523-3334
Mailing address
2634 CAPITAL CIR NE BLDG C, TALLAHASSEE, FL 32308-4106
(850) 523-3333
(850) 523-3334
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26674
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000265400
—
FL
01
—
260040225
RR MEDICARE
KY
05
—
26674
—
KY
01
—
53275
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/26/2006
Last updated
09/24/2020
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