Individual provider · Type 1 NPI
Jose Orlando Maysonet, PA-C
Medical Physician Assistant · Macdill Afb, FL
NPI number
1679554307
Active
Practice location
8415 Bayshore Blvd
Macdill Afb, FL 33621-1607
Fax (813) 827-9264
Mailing address
6419 Bridgecrest Drive
Lithia, FL 33547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1679554307
Jose Orlando Maysonet, PA-C's National Provider Identifier is 1679554307, issued on Nov 9, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Macdill Afb, FL. The record was last updated on Jul 8, 2007.