Individual
DIANA JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
942 LAKE BALDWIN LN, ORLANDO, FL 32814-6606
(407) 895-8059
Mailing address
942 LAKE BALDWIN LN, ORLANDO, FL 32814-6606
(407) 895-8059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME112300
FL
Other
Enumeration date
11/15/2012
Last updated
12/22/2013
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