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Individual

YAMILET NENINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4509 N ARMENIA AVE, TAMPA, FL 33603-2747
(813) 873-7777
(813) 873-7776
Mailing address
PO BOX 152758, TAMPA, FL 33684-2758
(813) 873-7777
(813) 873-7776

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME87139
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME87139
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME87139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251915100
FL
05
262127400
FL
05
270843400
FL
01
40929
GTBA GROUP BCBS
FL
01
45642
FGTBA GROUP BCBS
FL
01
50737
FL BCBS
FL
01
5250415
GTBA GROUP AETNA
FL
01
5811585
FGTBA GROUP AETNA
FL
Enumeration date
05/23/2006
Last updated
03/24/2015
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