Individual
JAIMOL GIGI SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11307 PORT ST, HOLLYWOOD, FL 33026-1366
(954) 604-7092
Mailing address
11307 PORT ST, HOLLYWOOD, FL 33026-1366
(954) 604-7092
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2020044779
FL
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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