Individual
JAIME LEIGH TRIOLO-BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7125 MURRELL RD STE E, MELBOURNE, FL 32940-7999
(321) 434-9571
(321) 434-9275
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN9166430
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN9166430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104937800
—
FL
01
—
U1250Y
MEDICARE
FL
Enumeration date
07/22/2005
Last updated
11/03/2023
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