Healthcare Provider Details
I. General information
NPI: 1497319826
Provider Name (Legal Business Name): JOSHUA PAUL WERBLIN, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2019
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8875 HIDDEN RIVER PKWY STE 300
TAMPA FL
33637-2087
US
IV. Provider business mailing address
8150 SW 72ND AVE APT 1418
MIAMI FL
33143-7755
US
V. Phone/Fax
- Phone: 813-489-4300
- Fax: 813-489-4300
- Phone: 813-489-4300
- Fax: 844-437-5674
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0802X |
| Taxonomy | Addiction Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSHUA
PAUL
WERBLIN
Title or Position: CHILD & ADULT PSYCHIATRIST
Credential: M.D.
Phone: 443-223-6261