Individual
BERENICE B JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5432 BEE RIDGE RD STE 140, SARASOTA, FL 34233-1512
(941) 371-2244
(941) 371-1144
Mailing address
3028 BUCIDA DR, SARASOTA, FL 34232-5443
(941) 586-3040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105002100
—
FL
01
—
VOOOL
BCBS FL
FL
Enumeration date
08/16/2018
Last updated
09/17/2020
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