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Individual
DR. JAMIE L IKEDA
Active
Individual
DR. JAMIE L IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 101478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204460505
—
MO
05
—
281115400
—
FL
Enumeration date
04/09/2007
Last updated
05/13/2020
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