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Organization
THIERRY JACQUEMIN D.O., P.A
Active
Organization
THIERRY JACQUEMIN D.O., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIERRY O JACQUEMIN D.O. (DIRECTOR)
(305) 667-1511
Entity
Organization
Contact information
Practice address
3850 BIRD RD, SUITE # 501, MIAMI, FL 33146-1501
(305) 667-1511
(305) 503-8955
Mailing address
3850 BIRD RD, SUITE # 501, MIAMI, FL 33146-1501
(305) 667-1511
(305) 503-8955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001536700
—
FL
01
—
1750407086
NPI INDIVIDUAL
FL
01
—
BS88ST
MEDICARE
FL
Enumeration date
11/15/2016
Last updated
11/15/2016
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