Individual
JAY M SOSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 NW 10TH AVE, MIAMI, FL 33136-1011
(305) 243-6145
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
207R00000X
Internal Medicine Physician
ME39919
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0039919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668133-00
—
FL
Enumeration date
08/02/2006
Last updated
01/31/2013
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