Provider Demographics
NPI:1639412927
Name:MAYSONET, JOSUE (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:JOSUE
Middle Name:
Last Name:MAYSONET
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 SATINWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-8610
Mailing Address - Country:US
Mailing Address - Phone:407-334-9988
Mailing Address - Fax:
Practice Address - Street 1:1958 E OSCEOLA PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-8626
Practice Address - Country:US
Practice Address - Phone:407-483-3598
Practice Address - Fax:407-483-3599
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00610111NR0400X
FLCH10909111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation