Individual
JAIME MICHELLE LIBES-BANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
92 W MILLER ST # MP318, ORLANDO, FL 32806-2032
(321) 841-8588
(321) 841-8560
Mailing address
92 W MILLER ST # MP318, ORLANDO, FL 32806-2032
(321) 841-8588
(321) 841-8560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101248768
VA
208000000X
Pediatrics Physician
MD49195
TN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036-136820
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116515900
—
FL
Enumeration date
04/21/2011
Last updated
01/31/2023
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