Healthcare Provider Details

I. General information

NPI: 1508896135
Provider Name (Legal Business Name): JOSEPH LEE WEBSTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N DEAN RD
ORLANDO FL
32825-3710
US

IV. Provider business mailing address

2048 CENTRE POINTE LANE
TALLAHASSEE FL
32308
US

V. Phone/Fax

Practice location:
  • Phone: 407-384-7388
  • Fax: 407-384-7391
Mailing address:
  • Phone: 850-878-0471
  • Fax: 850-942-5733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME36375
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: