Individual
JAIME LYNN BOZENTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(646) 939-0592
Mailing address
225 N COLUMBUS DR APT 5213, CHICAGO, IL 60601-5209
(646) 939-0592
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
036153164
IL
207LP3000X
Pediatric Anesthesiology Physician
35.823511
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME155333
FL
207LP3000X
Pediatric Anesthesiology Physician
TP381
KY
Other
Enumeration date
06/02/2011
Last updated
05/16/2022
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