Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | DTP483 | FL |
Y | 1223G0001X | General Practice | DTP483 | FL |
Y | 213EG0000X | General Practice | DTP483 | FL |
NPI | 1679775803 |
---|---|
Provider Name | Dr. Jayme Alencar De Oliveira Filho |
First Address | Miami, FL 33143-7250 |
Second Address | Miami, FL 33136-1005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/08/2007 |