Organization
SPEEDIX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANNE JANSSEN PA (PRESIDENT)
(305) 595-0719
Entity
Organization
Contact information
Practice address
11801 SW 90TH ST, SUITE 101, MIAMI, FL 33186-2182
(305) 595-0719
(305) 595-2154
Mailing address
11801 SW 90TH ST, SUITE 101, MIAMI, FL 33186-2182
(786) 564-9440
(305) 595-2154
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102435
LICENSE
FL
Enumeration date
03/27/2007
Last updated
05/20/2009
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