Individual
JACQUELINE E PAUGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 NW 12TH AVE, CEDARS DEPARTMENT OF ANESTHESIA, MIAMI, FL 33136-1003
(305) 325-5416
(954) 964-6084
Mailing address
1110 THRUSH AVE, MIAMI SPRINGS, FL 33166-3151
(786) 200-3279
(786) 200-3279
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 1-488-352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304608700
—
FL
Enumeration date
07/03/2006
Last updated
01/30/2014
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