Individual
DR. JOCELYN MAE MENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, 11G, TAMPA, FL 33612-4745
(813) 972-2000
(813) 979-2433
Mailing address
13000 BRUCE B DOWNS BLVD, 11G, TAMPA, FL 33612-4745
(813) 972-2000
(813) 979-2433
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
C52314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C52314
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
04/02/2007
Last updated
05/23/2012
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