Individual
JONATHAN AARON MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(078) 460-6264
Mailing address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME145219
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME145219
FL
207RI0011X
Interventional Cardiology Physician
ME145219
FL
Other
Enumeration date
03/28/2017
Last updated
07/29/2024
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