MEDICARE: AIXA SOYANO MULLER MD

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
1	207RH0003X	Hematology & Oncology Physician	ME123459	FL

General Provider Information

NPI Number	:	1841545423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIXA SOYANO MULLER MD

Provider Business Mailing Address
First Line	:	4500 SAN PABLO RD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-1865
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10920 MCKINLEY DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-6471
Country	:	US
Telephone Number	:	813-745-8268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	11/02/2018

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