Individual
MS. JAMIE N DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 COLUMBIA DR, STE 730, TAMPA, FL 33606-3589
(813) 259-0600
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103311
FL
Other
Enumeration date
03/01/2006
Last updated
01/11/2008
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