Individual
DR. JANE BISTLINE
Active
Individual
DR. JANE BISTLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME67442
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME67442
FL
Other
Enumeration date
09/13/2006
Last updated
02/19/2013
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