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NPI Code Detail

MEDICARE: MRS. MARIA JUSSYMI JAIME MD

MEDICARE:  MRS. MARIA JUSSYMI JAIME  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME111905FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285874636
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA JUSSYMI JAIME MD
Provider Business Mailing Address
First Line : 950 N KROME AVE STE 408
Second Line :
City : HOMESTEAD
State : FL
Zip : 33030-4443
Country : US
Telephone Number : 786-897-0109
Fax Number :
Provider Business Practice Location Address
First Line : 950 N KROME AVE STE 408
Second Line :
City : HOMESTEAD
State : FL
Zip : 33030-4443
Country : US
Telephone Number : 786-897-0109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2009
Last Update Date : 05/08/2015

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Directions to “ MRS. MARIA JUSSYMI JAIME MD” Practice Location

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