Individual
JILL MARIE PRAFKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2114 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL 32504-8926
(850) 476-3696
(850) 477-3573
Mailing address
2114 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL 32504-8926
(850) 476-3696
(850) 477-3573
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME81007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000269
UNITED HEALTHCARE
FL
05
—
260210500
—
FL
01
—
4608120
AETNA
FL
01
—
51738
BCBSFL
FL
01
—
59082833
BCBS AL
FL
01
—
6679791004
CIGNA
FL
01
—
A922
HEALTH FIRST NETWORK
FL
01
—
P00105335
MEDICARE RR
FL
Enumeration date
10/18/2005
Last updated
07/19/2013
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