Individual
JESSICA NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8950 N KENDALL DR STE 410W, MIAMI, FL 33176-2127
(786) 596-3876
(786) 533-9989
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-3876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111052100
—
FL
01
—
L0C3C
BCBS
FL
Enumeration date
03/13/2019
Last updated
09/30/2024
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