Brill, Jacqueline M

Brill, Jacqueline M is an individual health care provider with primary practice located at 4302 Alton Rd Suite 200, Miami Beach FL 33140-2891. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Brill, Jacqueline M can be contacted via phone (305) 893-9366.

Contact Information

Primary practice address
4302 Alton Rd Suite 200 Miami Beach FL 33140-2891
Phone: (305) 893-9366
Fax: (305) 893-4408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2613 Florida

Profile Details

NPI number 1821090838
LBN Legal business name Brill, Jacqueline M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 10th, 2010 - about 14 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 1821090838 NPPES
Florida MEDICAID 390333800

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