Healthcare Provider Details

I. General information

NPI: 1730829086
Provider Name (Legal Business Name): JOSEPH ALLEN TUBITO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SE HOSPITAL AVE
STUART FL
34994-2346
US

IV. Provider business mailing address

1300 MICCOSUKEE RD
TALLAHASSEE FL
32308-5054
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-5762
  • Fax:
Mailing address:
  • Phone: 850-431-7901
  • Fax: 850-431-8251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME171358
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME171358
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: