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Individual

DR. JONATHAN P. MEIZOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MSPH

Contact information

Practice address
1800 NW 10TH AVE, MIAMI, FL 33136-1018
(305) 585-1178
Mailing address
1800 NW 10TH AVENUE, SUITE T-215 (D-40), MIAMI, FL 33136

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DR.0061992
CO
208600000X
Surgery Physician
ME149575
FL
2086S0102X
Surgical Critical Care Physician
DR.0061992
CO
2086S0102X
Surgical Critical Care Physician
ME149575
FL
2086S0127X
Trauma Surgery Physician
DR.0061992
CO
2086S0127X
Trauma Surgery Physician
Primary
ME149575
FL

Other

Enumeration date
04/01/2012
Last updated
05/04/2021
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