Individual
JAMILLE NICHOLE AYALA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2140 W 68TH ST STE 102, HIALEAH, FL 33016-1815
(305) 822-4107
(305) 822-5086
Mailing address
2140 W 68TH ST STE 300, HIALEAH, FL 33016-1815
(305) 822-4107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11035648
FL
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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