Individual
JAMIE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9111 PARK DR, MIAMI SHORES, FL 33138-3159
(970) 778-0035
Mailing address
8001 SW 63RD CT, SOUTH MIAMI, FL 33143-8020
(970) 778-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
04/17/2025
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