Individual
JANNEL PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
7800 SW 87TH AVE, SUITE A-100, MIAMI, FL 33173-3570
(305) 273-7998
(305) 273-7275
Mailing address
7800 SW 87TH AVE, SUITE A-100, MIAMI, FL 33173-3570
(305) 273-7998
(305) 273-7275
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9105636
FLORIDA STATE LICENCE NUMBER
FL
01
—
PAX00008507
PRESCRIBING LICENSE NUMBER
FL
Enumeration date
07/13/2012
Last updated
10/30/2013
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