Individual
MS. JACQUELINE ELIZABETH AMAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, DPT
Contact information
Practice address
3100 SW 62ND AVE, DEPARTMENT OF ORTHOPEDICS, MIAMI, FL 33155-3009
(305) 331-4191
Mailing address
3100 SW 62ND AVE, DEPARTMENT OF ORTHOPEDICS, MIAMI, FL 33155-3009
(305) 331-4191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22605
FL
363A00000X
Physician Assistant
Primary
9108954
FL
Other
Enumeration date
04/17/2007
Last updated
09/10/2015
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