Jacqueline Denobriga, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME50677 Issued in FL

Practice address

3319 S State Road 7 Ste 102
Wellington, FL 33449

Phone

(561) 333-4000

Fax

(561) 333-8851

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inphynet South Broward LLC

  • Emergency Medicine Physician
  • Hollywood, FL
  • NPI 1871521880
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1710976170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATTN: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "561-333-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 102",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-333-4000",
            "fax_number": "561-333-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NW 7th Ave",
            "address_2": "Phoenix Emergency Medicine of Broward, LLC",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333119026",
            "country_code": "US",
            "telephone_number": "954-759-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENOBRIGA",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME50677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063415899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Louis Delvicario, PT
• Cheryl Dely
• Craig Demby, MA, OTR/L
• Christina Rose Denicola, LMHC
• Briah Denizard
• Brittany Deonarine
• Kimberly A Depatie, LCSW
• Dermatology & Cutaneous Surgery Institute (Dcsi), PA
• Dermatology Center of Wellington PA
• Julie Derose, LCSW

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.