MEDICARE: MR. NOE JOSEPH

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	363LF0000X	Family Nurse Practitioner	APRN11001524	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942767918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NOE JOSEPH

Provider Business Mailing Address
First Line	:	6124 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7136
Country	:	US
Telephone Number	:	561-888-2325
Fax Number	:	912-216-3461

Provider Business Practice Location Address
First Line	:	6124 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467
Country	:	US
Telephone Number	:	561-888-2325
Fax Number	:	912-216-3461

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

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	01/06/2025

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