Individual
PROF. NICOLAS MASSIMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2015 NW 1ST AVE, MIAMI, FL 33127-4901
(305) 572-2026
Mailing address
2015 NW 1ST AVE, MIAMI, FL 33127-4901
(305) 572-2026
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104268
FL
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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