Individual
GARY E JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 NW 12TH AVE, MIAMI, FL 33136-3609
(305) 821-5119
(305) 227-1684
Mailing address
619 NW 12TH AVE, MIAMI, FL 33136
(305) 821-5119
(305) 227-1684
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1084
VI
Other
Enumeration date
06/06/2006
Last updated
08/30/2013
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