Healthcare Provider Details

I. General information

NPI: 1831525948
Provider Name (Legal Business Name): JIHANE NAOUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE FL 33155
MIAMI FL
33155-3009
US

IV. Provider business mailing address

25827 SE HIGHWAY 19
OLD TOWN FL
32680-3997
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-6511
  • Fax:
Mailing address:
  • Phone: 352-542-0068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN19440
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License NumberME149703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: