Individual
JONAS EGUSQUIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3220 SW 107TH AVE, MIAMI, FL 33165-3606
(305) 551-1195
Mailing address
3220 SW 107TH AVE, MIAMI, FL 33165-3606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME167574
FL
Other
Enumeration date
05/20/2021
Last updated
06/28/2024
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