Provider Demographics
NPI:1225783087
Name:D'CUNHA, JAYME LAURA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:LAURA
Last Name:D'CUNHA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JAYME
Other - Middle Name:LAURA
Other - Last Name:HIRZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6890 SW 51ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5708
Mailing Address - Country:US
Mailing Address - Phone:954-806-1537
Mailing Address - Fax:
Practice Address - Street 1:1601 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7344
Practice Address - Country:US
Practice Address - Phone:305-554-1706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-19
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist