Individual
JOLIE MIGLIARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.P.
Contact information
Practice address
3638 S WEST SHORE BLVD, TAMPA, FL 33629-8236
(813) 482-2584
Mailing address
3638 S WEST SHORE BLVD, TAMPA, FL 33629-8236
(813) 482-2584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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