Individual provider · Type 1 NPI
Jacqueline Blutcher Gollman, MD
General Practice Physician · St. Petersburg, FL
NPI number
1215358981
Active
Practice location
205 Martin Luther King, Jr. St. No., Pinellas County Health Department
St. Petersburg, FL 33701-3109
Mailing address
P.o. Box 290919
Temple Terrace, FL 33687-0919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ME 0037797 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1215358981
Jacqueline Blutcher Gollman, MD's National Provider Identifier is 1215358981, issued on Dec 26, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 26, 2013.