Healthcare Provider Details

I. General information

NPI: 1053988709
Provider Name (Legal Business Name): MARGUERITE JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9112 ALTERNATE A1A STE 102
PALM BEACH GARDENS FL
33403-1451
US

IV. Provider business mailing address

9112 ALTERNATE A1A STE 102
PALM BEACH GARDENS FL
33403-1451
US

V. Phone/Fax

Practice location:
  • Phone: 561-448-2094
  • Fax:
Mailing address:
  • Phone: 561-448-2094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11013587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: