Individual
JOSE ORLANDO MAYSONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8415 BAYSHORE BLVD, MACDILL AFB, FL 33621-1607
(813) 827-9229
(813) 827-9264
Mailing address
6419 BRIDGECREST DRIVE, LITHIA, FL 33547
(813) 685-7554
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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