Individual
JESSICA R THEMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
698 NE 1ST AVE APT 3706, MIAMI, FL 33132-1831
(631) 461-2750
Mailing address
698 NE 1ST AVE APT 3706, MIAMI, FL 33132-1831
(631) 461-2750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA9114194
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
12/13/2023
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