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NPI Code Detail

MEDICARE: FLORENCE JAMESON M.D.

MEDICARE: FLORENCE JAMESON M.D.
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
1173000000XLegal Medicine5203NV

General Provider Information

NPI Number : 1194995282
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORENCE JAMESON M.D.
Provider Business Mailing Address
First Line : 5281 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-2311
Country : US
Telephone Number : 702-262-9676
Fax Number : 702-262-9707
Provider Business Practice Location Address
First Line : 5281 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-2311
Country : US
Telephone Number : 702-262-9676
Fax Number : 702-262-9707
Authorized Official
Title or Position : MEDICAL DOCTOR
Name : DR. FLORENCE JAMESON
Credential : M.D.
Telephone Number : 702-262-9676
Provider Enumeration Date : 03/05/2008
Last Update Date : 03/05/2008

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