Individual
JAMIE DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FLINTHILL LN, PALM COAST, FL 32137-9210
(315) 884-5961
Mailing address
15 FLINTHILL LN, PALM COAST, FL 32137-9210
(315) 884-5961
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5234452
FL
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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