Individual
JAMIE LYNN INNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
314 ROMANO AVE, CORAL GABLES, FL 33134
(734) 660-0114
Mailing address
314 ROMANO AVE, CORAL GABLES, FL 33134-7246
(734) 660-0114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111601
FL
Other
Enumeration date
09/11/2018
Last updated
10/16/2019
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