Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 2212792 | FL |
NPI | 1013185685 |
---|---|
Provider Name | Miss Jessica Firmeza |
First Address | Hialeah, FL 33015 |
Second Address | Miami, FL 33136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2008 |
Last Update Date | 15/02/2008 |