Individual
MRS. JORDAN ZEMIS MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23 MACK BAYOU LOOP, SANTA ROSA BEACH, FL 32459-2606
(850) 390-4540
(850) 390-4540
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(850) 390-4540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9112790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105364300
—
FL
Enumeration date
11/15/2019
Last updated
08/15/2022
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