Individual
JESSICA BASTOS OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPA, PA-C
Contact information
Practice address
11200 SW 8 STREET, GREEN LIBRARY, ROOM 475, MIAMI, FL 33199-3319
(917) 495-1632
(917) 495-1632
Mailing address
7421 SW 163RD CT, MIAMI, FL 33193-4422
(917) 495-1632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0119001
NY
363A00000X
Physician Assistant
Primary
PA9109706
FL
Other
Enumeration date
09/11/2007
Last updated
03/17/2018
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