Individual
DR. MISHA PLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME151459
FL
2084N0400X
Neurology Physician
80059
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076954
TUFTS HEALTH PLAN
—
05
—
3122115
—
MA
01
—
J30412
BCBS MA
MA
Enumeration date
02/02/2006
Last updated
09/17/2021
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