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Individual
MRS. JAMIE TARA BOETTO
Active
Individual
MRS. JAMIE TARA BOETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
9295839
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9295839
FL
363LF0000X
Family Nurse Practitioner
ARNP9295839
FL
Other
Enumeration date
10/17/2017
Last updated
10/03/2025
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