Individual
DR. JONATHAN RAYMOND DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 NW 95TH ST STE 207, MIAMI, FL 33150-2064
(305) 835-7045
(305) 836-2359
Mailing address
1190 NW 95TH ST STE 207, MIAMI, FL 33150-2064
(305) 835-7045
(305) 836-2359
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME 123656
FL
207RN0300X
Nephrology Physician
ME123656
FL
Other
Enumeration date
04/16/2012
Last updated
11/04/2018
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