Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | PO2027 | FL |
Y | 213ES0000X | Sports Medicine | PO2027 | FL |
NPI | 1124015128 |
---|---|
Provider Name | James M Losito |
First Address | Miami Shores, FL 33161 |
Second Address | Miami, FL 33133-4227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U08594 | (02) | FL |