Individual
KRISTINE JENNY TIBAVISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
653-1 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1037
(904) 244-6656
Mailing address
653-1 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1037
(904) 244-6656
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME136019
FL
Other
Enumeration date
04/02/2014
Last updated
04/09/2020
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