Grant-Guimaraes, Jamilah

Grant-Guimaraes, Jamilah is an sole proprietor health care provider with primary practice located at 789 S Federal Hwy , Fort Lauderdale FL 33316-1245. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Grant-Guimaraes, Jamilah can be contacted via phone (954) 315-5784.

Contact Information

Primary practice address
789 S Federal Hwy Fort Lauderdale FL 33316-1245
Fax: (954) 522-0755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME128091 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME128091 Florida

Profile Details

NPI number 1164710935
LBN Legal business name Grant-Guimaraes, Jamilah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jun 18th, 2021 - about 3 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 1164710935 NPPES
Florida MEDICAID 017383200

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