Individual
JESSICA EDITH JAIRALA-BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7500 SW 87TH AVE, STE 200, MIAMI, FL 33173-5426
(305) 913-0666
(305) 913-0663
Mailing address
7500 SW 87TH AVE, STE 200, MIAMI, FL 33173-5426
(305) 913-0666
(305) 913-0663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9107147
MEDICAL LICENSE
FL
Enumeration date
04/08/2013
Last updated
04/08/2013
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