Provider Demographics
NPI:1992897821
Name:SENEMAR, JILA (MD)
Entity type:Individual
Prefix:DR
First Name:JILA
Middle Name:
Last Name:SENEMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 SW 87TH AVE
Mailing Address - Street 2:SUITE A-120
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3570
Mailing Address - Country:US
Mailing Address - Phone:305-412-6004
Mailing Address - Fax:305-412-3007
Practice Address - Street 1:7800 SW 87TH AVE
Practice Address - Street 2:SUITE A-120
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3570
Practice Address - Country:US
Practice Address - Phone:305-412-6004
Practice Address - Fax:305-412-3007
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91302207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty