Jose Orlando Maysonet, PA-C
Physician Assistant, Medical in Macdill Afb, FL. Individual provider (NPI-1).
NPI number1679554307
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679554307
- Entity type
- Individual (NPI-1)
- Name
- Jose Orlando Maysonet
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
8415 Bayshore BlvdMacdill Afb, FL 33621-1607
Phone 813-827-9229 · Fax 813-827-9264
Mailing address
6419 Bridgecrest DriveLithia, FL 33547
Phone 813-685-7554
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