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Individual

DR. JESSICA ALEXANDRA ALTAMIRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18360 NW 47TH AVE, MIAMI GARDENS, FL 33055-2934
(786) 800-5631
(888) 285-1741
Mailing address
PO BOX 100 DEPT#394, MEMPHIS, TN 38148-0001
(941) 300-4440
(941) 404-1760

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME113540
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024341300
FL
01
14P0W
BCBS PROVIDER #
FL
Enumeration date
06/01/2007
Last updated
04/16/2026
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