Individual
DR. JESSICA MAISONAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1735 E HIGHWAY 50 STE B, CLERMONT, FL 34711-5189
(352) 241-0549
(352) 242-9325
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
16323
PR
208D00000X
General Practice Physician
Primary
ACN834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018364600
—
FL
Enumeration date
03/09/2006
Last updated
02/13/2026
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