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NPI Code Detail

MEDICARE: REJO JOHN RN

MEDICARE: REJO JOHN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered NurseRN9294083FL

General Provider Information

NPI Number : 1376000844
Entity Type Code : Individual
Provider Name (Legal Business Name) : REJO JOHN RN
Provider Business Mailing Address
First Line : 3740 BIRD RD APT 608
Second Line :
City : MIAMI
State : FL
Zip : 33146-1509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5030 BRUNSON DR
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2412
Country : US
Telephone Number : 813-523-9974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2019
Last Update Date : 02/21/2019

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