Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME139828 | FL |
Y | 2080P0216X | Pediatric Rheumatologist | ME139828 | FL |
NPI | 1518302942 |
---|---|
Provider Name | Jennifer Leigh Rammel |
First Address | Jacksonville, FL 32231-4008 |
Second Address | Jacksonville, FL 32207-8329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2013 |
Last Update Date | 06/09/2019 |