Individual
DR. JOHN LEE BANKSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
13001 SOUTHERN BLVD, PALM'S WEST HOSPITAL NICU, LOXAHATCHEE, FL 33470-2413
(561) 840-6220
Mailing address
215 GRAND AVE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME44216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062713500
—
FL
Enumeration date
04/08/2006
Last updated
03/17/2018
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