Waxman, Jonathan

Waxman, Jonathan is an individual health care provider with primary practice located at 3003 W Dr Martin Luther King Jr Blvd Fl 2 , Tampa FL 33607-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Waxman, Jonathan can be contacted via phone (813) 238-0810.

Contact Information

Primary practice address
3003 W Dr Martin Luther King Jr Blvd Fl 2 Tampa FL 33607-6307
Phone: (813) 238-0810
Fax: (813) 238-0811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME99916 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 38951 Tennessee

Profile Details

NPI number 1194761973
LBN Legal business name Waxman, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 22nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194761973 NPPES
Missouri MEDICAID 209347905
Missouri Other 8P057
Missouri MEDICAID 024508200
Missouri MEDICAID 09016196
Missouri MEDICAID 3339325
Missouri MEDICAID 3713059
Missouri Other 4095320
Missouri Other 62-1719735
Missouri Other 99676
Missouri MEDICAID 159651001
Missouri MEDICAID 02021708

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