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Individual
DR. JAIMIE LOUISE MICKEY
Active
Individual
DR. JAIMIE LOUISE MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000994100
—
FL
01
—
P00915749
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
07/18/2007
Last updated
07/21/2022
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