Individual
DAPHNE JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 NE 164TH ST, MIAMI, FL 33162-3538
(305) 924-2941
Mailing address
540 NE 164TH ST, MIAMI, FL 33162-3538
(305) 924-2941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113588
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2021
Last updated
01/12/2021
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