Jessica Marie Virtue in Destin - Specialist
Jessica Marie Virtue - NPI 1619169133
Jessica Marie Virtue is a Specialist in Destin, Florida. Jessica Marie Virtue practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jessica Marie Virtue is 1619169133. The last update date is 2007-08-17.
Jessica Marie Virtue's current location address is 12815 Hwy 98 W, Destin, Florida. You can contact this provider via phone number 8508372002 and fax number 8508378230. The mailing address for Jessica Marie Virtue is 12815 Hwy 98 W, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Marie Virtue |
|---|---|
| Address | 12815 Hwy 98 W, Destin, Florida |
| Phone Number | 8508372002 |
| Fax Number | 8508378230 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1619169133 |
|---|---|
| Provider Enumeration Date | 2007-08-17 |
| Last Updated Date | 2007-08-17 |
Provider Mailing Address Detail
| Address | 12815 Hwy 98 W |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 32550 |
| Phone Number | 8508372002 |
| Fax Number | 8508378230 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA47223 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Jessica Marie Virtue by the Centers for Medicare & Medicaid Services?
The Jessica Marie Virtue has been assigned the NPI (National Provider Identifier) 1619169133 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jessica Marie Virtue is geographically located?
The Jessica Marie Virtue is physically situated at the following location: 12815 Hwy 98 W, Destin, FL, 32550.
What is Jessica Marie Virtue's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Marie Virtue's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Jessica Marie Virtue receive its 1619169133?
The Jessica Marie Virtue was issued its 1619169133 on 2007-08-17, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jessica Marie Virtue most recently updated or revised?
The details related to Jessica Marie Virtue, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-17.
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