Healthcare Provider Details

I. General information

NPI: 1578485355
Provider Name (Legal Business Name): JOSIAH M KUMHER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 SW 8TH ST FL 33199
MIAMI FL
33199-2516
US

IV. Provider business mailing address

700 SW 107TH AVE # 1534
MIAMI FL
33174-1302
US

V. Phone/Fax

Practice location:
  • Phone: 305-948-1200
  • Fax:
Mailing address:
  • Phone: 239-410-6956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: