Individual
IZIDORE LOSSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1500 NW 12TH AVE, JMT- EAST 1007, MIAMI, FL 33136-1028
(305) 243-4664
(305) 243-9927
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MFC1489
FL
207RH0003X
Hematology & Oncology Physician
Primary
MFC1489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2666685-00
—
FL
Enumeration date
04/13/2006
Last updated
01/27/2014
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