Provider Demographics
NPI:1831256882
Name:TEXIDOR, JOSE M (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:TEXIDOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 12TH ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4088
Mailing Address - Country:US
Mailing Address - Phone:305-295-6700
Mailing Address - Fax:305-295-6700
Practice Address - Street 1:1111 12TH ST
Practice Address - Street 2:SUITE 311
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4088
Practice Address - Country:US
Practice Address - Phone:305-295-6700
Practice Address - Fax:305-295-6700
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2016-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA074267208000000X
FLME 125918208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000898110Medicare UPIN