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Individual

JENNIFER GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2387
Mailing address
14217 SW 165TH ST, MIAMI, FL 33177-1834
(305) 338-1049

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9427332
FL
163WP2201X
Ambulatory Care Registered Nurse
9427332
FL
163WX0800X
Orthopedic Registered Nurse
9427332
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11032768
FL

Other

Enumeration date
06/29/2017
Last updated
06/26/2024
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