Individual
JEAN E. CIBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-3491
(352) 392-6893
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550
(352) 273-5575
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
ME62952
FL
2084N0400X
Neurology Physician
ME62952
FL
2084N0600X
Clinical Neurophysiology Physician
35 07 8779 C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212840
—
OH
05
—
281121900
—
FL
Enumeration date
12/18/2005
Last updated
03/14/2023
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