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Dr. Pooja Mira Jayaprakash, MD
Family Medicine Physician in Bradenton, Florida
NPI 1255891248

Pooja Mira Jayaprakash is a Family Medicine Physician based in Miami, FL. Pooja Mira Jayaprakash practices in Bradenton, FL and has the professional credentials of MD. The NPI Number for Pooja Mira Jayaprakash is 1255891248 and holds a License No. 1018070 (Florida).

The current practice location address for Pooja Mira Jayaprakash is 6832 14Th St W Unit 3, Bradenton, FL and can be reached out via phone at 941-297-2123.

Location: 6832 14Th St W Unit 3, Bradenton, FL, 33131-3735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255891248
Provider Name
Pooja Mira Jayaprakash
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6832 14Th St W Unit 3, Bradenton, FL, 33131-3735
Phone Number
941-297-2123
Fax Number
Provider Enumeration Date
03/25/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114673700 05 FL
institution
Provider Business Practice Location Address Details
Address
6832 14Th St W Unit 3
City
Bradenton
State
Florida
Zip
34207-5866
Phone Number
941-297-2123
Fax Number
person
Provider Business Mailing Address Details
Address
6832 14Th St W Unit 3
City
Bradenton
State
Florida
Zip
34207-5866
Phone Number
941-297-2123
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1018070 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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