Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristine Jenny Tibavisky, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1851719124

Kristine Jenny Tibavisky, MD is an Obstetrics/Gynecology in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Vitalmd Group Holding LLC, a 532-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

653-1 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 383-1037
Fax: (904) 244-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME136019 (FL)

Record details

NPI number1851719124
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vitalmd Group Holding Llc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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