Individual
JASON MARTIN LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-1733
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-1733
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME106030
FL
207Y00000X
Otolaryngology Physician
MT186823
PA
Other
Enumeration date
12/28/2006
Last updated
02/12/2013
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