Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 46453 | FL |
NPI | 1255336053 |
---|---|
Provider Name | Donna M Jamieson |
First Address | Sarasota, FL 34239-2634 |
Second Address | Sarasota, FL 34239-2634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D56986 | (02) | FL |