Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME141174 | FL |
NPI | 1013352368 |
---|---|
Provider Name | Michael Ernst-Georg Jesinger |
First Address | Clearwater, FL 33756-3356 |
Second Address | Clearwater, FL 33756-3356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2013 |
Last Update Date | 26/06/2019 |