| Doctor Name: | MRS. ANA GLORIA JENER |
| NPI Number: | 1730391640 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ITDS |
| License Number: | |
| Business Practice Address: | 708 Pearl Circle Brandon, FL - 335104246 |
| Business Phone Number: | 8134318051 |
| Business Fax Number: | 8136554814 |
| Mailing Address: | 2630 Pearce Dr, #406 CLEARWATER |
| State: | FL |
| Postal Code: | 337641129 |
| Phone Number: | 8138434457 |
| Fax Number: | 7274990926 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 04/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |