Individual
MISS JAIME VIRGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7451 RIVIERA BLVD STE 131, MIRAMAR, FL 33023-6569
(888) 683-0853
Mailing address
7451 RIVIERA BLVD STE 131, MIRAMAR, FL 33023-6569
(888) 683-0853
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7542289784
PHONE
FL
Enumeration date
02/09/2022
Last updated
02/09/2022
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