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NPI Code Detail

MEDICARE: JAIME ZARAGOZA SOSA

MEDICARE:   JAIME  ZARAGOZA SOSA
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11032585FL

General Provider Information

NPI Number : 1922855618
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME ZARAGOZA SOSA
Provider Business Mailing Address
First Line : 8851 NW 119TH ST UNIT 3316
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-7910
Country : US
Telephone Number : 786-622-3276
Fax Number :
Provider Business Practice Location Address
First Line : 8851 NW 119TH ST UNIT 3316
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-7910
Country : US
Telephone Number : 786-622-3276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2024
Last Update Date : 05/01/2024

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Directions to “ JAIME ZARAGOZA SOSA ” Practice Location

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