MEDICARE: DR. JOSEF FREDERICK DOENGES M.D.

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	207ND0101X	MOHS-Micrographic Surgery Physician	ME147442	FL
2	207NS0135X	Procedural Dermatology Physician	ME147442	FL
3	207N00000X	Dermatology Physician	ME147442	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GYVDA	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760453039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEF FREDERICK DOENGES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9170 OAKHURST RD STE 1
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33776-2112
Country	:	US
Telephone Number	:	813-321-1786
Fax Number	:	813-321-1787

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	02/08/2025

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