| Doctor Name: | MRS. JOHANNA MASEDA |
| NPI Number: | 1164778098 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9265129 |
| Business Practice Address: | 10300 Sw 216th St Cutler Bay, FL - 331901003 |
| Business Phone Number: | 3052535100 |
| Business Fax Number: | |
| Mailing Address: | 6347 Sw 10th Ter, WEST MIAMI |
| State: | FL |
| Postal Code: | 331444911 |
| Phone Number: | 3053015675 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9265129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |