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Contact Information

JESSE O BASADRE, MD PA
1699 SW 27 AVENUE
MIAMI, FL33145
 Phone: 305-857-5025
 Fax: 305-857-5024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JESSE O BASADRE · (Male)

NPI # 1609941244
Status Active
Credentials MD PA
Entity Individual
Enumeration date 11/21/2006
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0060467
Hospital affiliation(s)
  • JACKSON MEMORIAL HOSPITAL - (Acute Care)
    1611 NW 12TH AVE
    MIAMI, FL 33136
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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