Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME150382 | FL |
NPI | 1043318132 |
---|---|
Provider Name | Dr. Prasuna Jami |
First Address | Salt Lake City, UT 84145-0443 |
Second Address | Jacksonville, FL 32223-1627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 03/01/2022 |