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Individual

MRS. JAMIE TARA BOETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(877) 876-3627
(321) 841-3794
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(877) 876-3627
(321) 841-3794

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
9295839
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9295839
FL
363LF0000X
Family Nurse Practitioner
ARNP9295839
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023948200
FL
Enumeration date
10/17/2017
Last updated
10/03/2025
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