Healthcare Provider Details

I. General information

NPI: 1346204542
Provider Name (Legal Business Name): JOSE L NAVIA ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD # 23
WESTON FL
33331-3609
US

IV. Provider business mailing address

2950 CLEVELAND CLINIC BLVD # 23
WESTON FL
33331-3609
US

V. Phone/Fax

Practice location:
  • Phone: 954-659-5320
  • Fax: 954-659-5244
Mailing address:
  • Phone: 954-659-5320
  • Fax: 954-659-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME138999
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number35079059N
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: