Healthcare Provider Details

I. General information

NPI: 1497443485
Provider Name (Legal Business Name): JOY LATIF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13489 S MILITARY TRL
DELRAY BEACH FL
33484-1347
US

IV. Provider business mailing address

9513 NEW WATERFORD CV
DELRAY BEACH FL
33446-9749
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-9700
  • Fax:
Mailing address:
  • Phone: 469-583-1693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number4631
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: