Organization
DR WENTWORTH JARRETT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENTWORTH G JARRETT M.D. (OWNER)
(305) 520-5750
Entity
Organization
Contact information
Practice address
12955 SW 132ND ST, BLDG 3B SUITE 104, MIAMI, FL 33186-7205
(305) 520-5750
(305) 520-5754
Mailing address
12955 SW 132ND ST, BLDG 3B SUITE 104, MIAMI, FL 33186-7205
(305) 520-5750
(305) 520-5754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04162
BC/BS
FL
05
—
046128800
—
FL
01
—
D20890
UPIN
FL
Enumeration date
09/07/2007
Last updated
06/06/2012
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