MEDICARE: JOSSY VICTORIA PASCHAL DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3398	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01362495	OTHER	TX	RAILROAD MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962635276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSSY VICTORIA PASCHAL DPM

Provider Business Mailing Address
First Line	:	665 NE 195TH ST
Second Line	:	#222
City	:	MIAMI
State	:	FL
Zip	:	33179-3339
Country	:	US
Telephone Number	:	305-653-9825
Fax Number	:	305-653-9825

Provider Business Practice Location Address
First Line	:	665 NE 195TH ST
Second Line	:	#222
City	:	MIAMI
State	:	FL
Zip	:	33179-3339
Country	:	US
Telephone Number	:	305-653-9825
Fax Number	:	305-653-9825

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

Provider Enumeration Date	:	09/02/2009
Last Update Date	:	05/14/2015

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Directions to “ JOSSY VICTORIA PASCHAL DPM” Practice Location

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