Individual
JOHN THOMAS MASIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 S PARSONS AVE, BRANDON, FL 33511-6058
(913) 754-0467
(913) 341-5797
Mailing address
PO BOX 862811, ORLANDO, FL 32886-2811
(913) 754-0467
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME75034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050066602
RAILROAD MEDICARE
FL
05
—
254304400
—
FL
01
—
43374
BCBS
FL
Enumeration date
03/17/2006
Last updated
06/30/2008
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