Individual
JAIME L GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10326 W FLAGLER ST, MIAMI, FL 33174-1746
(305) 227-6008
(305) 227-1062
Mailing address
10326 W FLAGLER ST, MIAMI, FL 33174-1746
(305) 227-6008
(305) 227-1062
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0044889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069559900
—
FL
Enumeration date
11/11/2006
Last updated
08/09/2010
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