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Jennifer Michelle Divine, MD
MOHS-Micrographic Surgery Physician in Tampa, Florida
NPI 1063779072

Jennifer Michelle Divine is a MOHS-Micrographic Surgery Physician based in Fort Collins, FL and is specialized in MOHS-Micrographic Surgery. Jennifer Michelle Divine practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Jennifer Michelle Divine is 1063779072 and holds a License No. DR.0058205 (Florida).

The current practice location address for Jennifer Michelle Divine is 12901 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-844-7412 and via fax at 813-974-8359. You can also correspond with Jennifer Michelle Divine through the mailing address at 1260 DOCTOR'S LANE, FORT COLLINS, CO - 80524 (mailing address contact number: ).

Location: 12901 Bruce B Downs Blvd, Tampa, FL, 80524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063779072
Provider Name
Jennifer Michelle Divine
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12901 Bruce B Downs Blvd, Tampa, FL, 80524
Phone Number
813-844-7412
Fax Number
813-974-8359
Provider Enumeration Date
04/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-844-7412
Fax Number
813-974-8359
person
Provider Business Mailing Address Details
Address
1260 Doctor's Lane
City
Fort Collins
State
Colorado
Zip
80524
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
DR.0058205 (Colorado)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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