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1851956411
JEREMY ANTONIO MINAYA
GAINESVILLE, FL
NPI
1851956411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9925)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2019-05-08
Last Update Date
2021-03-08
Business Address
JEREMY ANTONIO MINAYA
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0301
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Mailing Address
JEREMY ANTONIO MINAYA
182 ALEXANDER WOODS DR
PLANT CITY, FL 33563-7112
Phone number: 813-650-6176
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