Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME005794 | FL |
NPI | 1154562122 |
---|---|
Provider Name | Dr. Emilio Simone Musso |
First Address | Jupiter, FL 33458-7801 |
Second Address | Jupiter, FL 33458-7801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2009 |
Last Update Date | 20/03/2009 |