Individual
MAXSON JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
4800 NW 177TH ST, MIAMI GARDENS, FL 33055-3646
(786) 712-5055
Mailing address
4800 NW 177TH ST, MIAMI GARDENS, FL 33055-3646
(786) 712-5055
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-412
FL
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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