Healthcare Provider Details

I. General information

NPI: 1467007864
Provider Name (Legal Business Name): JOEANNETHOMASJOSEPH COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2019
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 BUSINESS WAY # 73
LEHIGH ACRES FL
33936-6075
US

IV. Provider business mailing address

1201 BUSINESS WAY # 73
LEHIGH ACRES FL
33936-6075
US

V. Phone/Fax

Practice location:
  • Phone: 239-888-9878
  • Fax:
Mailing address:
  • Phone: 239-888-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOEANNE M THOMAS-JOSEPH
Title or Position: SERVICE PROVIDER
Credential: DBE/ACDBE
Phone: 239-888-9878