Individual
JAIME R RONCANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 SW 75TH AVE, MIAMI, FL 33155-2805
(305) 264-5252
(800) 536-8431
Mailing address
PO BOX 863481, ORLANDO, FL 32886-3481
(800) 514-1494
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0007634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258231700
—
FL
01
—
49699
BCBS
FL
01
—
P00367253
RR MCR
FL
Enumeration date
05/04/2006
Last updated
05/22/2008
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