Individual
DR. JENNIFER BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3525 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1965
(863) 603-6565
Mailing address
1324 LAKELAND HILLS BLVD, ATTN MANAGED CARE, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME159837
FL
2086X0206X
Surgical Oncology Physician
Primary
ME159837
FL
Other
Enumeration date
06/30/2018
Last updated
01/19/2026
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