Individual
JIMMY SPENCER SAINTILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1508 NW 119TH ST APT 208, MIAMI, FL 33167-3130
(786) 720-0889
Mailing address
1508 NW 119TH ST APT 208, MIAMI, FL 33167-3130
(786) 720-0889
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-202
FL
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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