Boetto, Jamie Tara

Boetto, Jamie Tara is an individual health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Boetto, Jamie Tara can be contacted via phone (407) 648-3800.

Contact Information

Primary practice address
1400 S Orange Ave Orlando FL 32806-2134
Phone: (407) 648-3800
Fax: (407) 425-5203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 9295839 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9295839 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9295839 Florida

Profile Details

NPI number 1972014926
LBN Legal business name Boetto, Jamie Tara
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Oct 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972014926 NPPES
Florida MEDICAID 023948200

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