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NPI Code Detail

MEDICARE: ANGELA JAIMES ARNP

MEDICARE: ANGELA JAIMES ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9331738FL

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 : 1083083000
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA JAIMES ARNP
Provider Business Mailing Address
First Line : 365 WEKIVA SPRINGS RD STE 231
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-3690
Country : US
Telephone Number : 321-413-1411
Fax Number : 321-379-6923
Provider Business Practice Location Address
First Line : 365 WEKIVA SPRINGS RD STE 231
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-3690
Country : US
Telephone Number : 321-413-1411
Fax Number : 321-379-6923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2015
Last Update Date : 03/07/2024

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