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NPI Code Detail

MEDICARE: ALYSSA CLAIRE JAIMAN

MEDICARE: ALYSSA CLAIRE JAIMAN
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
1183500000XPharmacistPS65750FL

General Provider Information

NPI Number : 1770261083
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA CLAIRE JAIMAN
Provider Business Mailing Address
First Line : 918 BARON RD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-5469
Country : US
Telephone Number : 407-409-0434
Fax Number :
Provider Business Practice Location Address
First Line : 16900 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32820-1911
Country : US
Telephone Number : 407-568-4199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2023
Last Update Date : 07/06/2023

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Directions to “ ALYSSA CLAIRE JAIMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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