Individual
JONATHAN C. TRENT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-1000
Mailing address
1611 NW 12TH AVE, PO BOX 016960 (M851), MIAMI, FL 33136-1005
(305) 243-7688
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
K3867
TX
207RX0202X
Medical Oncology Physician
Primary
ME111336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128950604
—
TX
Enumeration date
10/05/2006
Last updated
02/25/2013
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