Individual
JAIME O PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.R.
Contact information
Practice address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-1672
(407) 481-8638
Mailing address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-1672
(407) 481-8638
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
DR 124980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR124980
DENTAL RADIOGRAPHER
FL
Enumeration date
02/20/2007
Last updated
07/08/2007
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