Individual
JAIME ALBERTO CARVAJAL ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16966 CAGAN RIDGE BLVD # 220, CLERMONT, FL 34714-9656
(321) 843-5851
(321) 842-0089
Mailing address
16966 CAGAN RIDGE BLVD # 220, CLERMONT, FL 34714-9656
(321) 843-5851
(321) 842-0089
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME121370
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015394800
—
FL
Enumeration date
03/26/2009
Last updated
07/02/2024
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