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Individual

TRENACE DUBREUIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(813) 866-0930
(813) 405-3722
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
22347
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME112841
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0170723783
FL
01
051008352
BCBS
AL
01
51020567
BCBS
AL
Enumeration date
07/02/2006
Last updated
08/11/2016
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