Individual
JANE DACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8265 SW 140TH AVE, MIAMI, FL 33183-4038
(305) 801-7868
Mailing address
8265 SW 140TH AVE, MIAMI, FL 33183-4038
(305) 801-7868
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1462012
FL
Other
Enumeration date
12/03/2017
Last updated
12/03/2017
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