Individual
MR. JESSE ORLANDO BASADRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
1699 SW 27 AVENUE, MIAMI, FL 33145
(305) 857-5025
(305) 857-5024
Mailing address
1699 SW 27TH AVE, MIAMI, FL 33145-2074
(305) 857-5025
(305) 857-5024
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME0060467
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME0060467
FL
Other
Enumeration date
11/21/2006
Last updated
09/07/2018
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