Maisonave, Jessica

Maisonave, Jessica is an individual health care provider with primary practice located at 1735 E Highway 50 Ste B , Clermont FL 34711-5189. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Maisonave, Jessica can be contacted via phone (352) 241-0549.

Contact Information

Primary practice address
1735 E Highway 50 Ste B Clermont FL 34711-5189
Phone: (352) 241-0549
Fax: (352) 242-9325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16323 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN834 Florida

Profile Details

NPI number 1194793927
LBN Legal business name Maisonave, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Dec 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194793927 NPPES
Florida MEDICAID 018364600

Popular Providers