Rendon, Jacqueline

Rendon, Jacqueline is an individual health care provider with primary practice located at 10300 Sw 216Th St , Cutler Bay FL 33190-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rendon, Jacqueline can be contacted via phone (305) 253-5100.

Contact Information

Primary practice address
10300 Sw 216Th St Cutler Bay FL 33190-1003
Phone: (305) 253-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113800 Florida

Profile Details

NPI number 1881280964
LBN Legal business name Rendon, Jacqueline
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2020
Last updated Feb 21st, 2023 - about last year

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 1881280964 NPPES
Florida MEDICAID 113273500

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