Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME22331 | FL |
NPI | 1083604136 |
---|---|
Provider Name | Dr. Jose F Font |
First Address | Hialeah, FL 33016-1897 |
Second Address | Hialeah, FL 33016-1897 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 25/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036268900 | (05) | FL |
060673100 | (05) | FL |
D58549 | (02) |