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Individual

JAMIE SAMANTHA CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8950 N KENDALL DR STE 410W, MIAMI, FL 33176-2127
(786) 596-3876
Mailing address
PO BOX 198054, ATLANTA, GA 30384-2317
(786) 594-6880

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114875
FL

Other

Enumeration date
09/14/2021
Last updated
11/29/2022
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