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1114035466 NPI number — DR. JOSEPH G MOYSE

NPI Number: 1114035466
Health Care Provider/Practitioner: DR. JOSEPH G MOYSE

Information about “1114035466” NPI (DR. JOSEPH G MOYSE) exists in 1114035466 in HTML format HTML  |  1114035466 in plain Text format TXT  |  1114035466 in PDF (Portable Document Format) PDF  |  1114035466 in an XML format XML  formats.

NPI Number : 1114035466 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114035466",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOYSE",
    "FirstName": "JOSEPH",
    "MiddleName": "G",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOYSE",
    "OtherFirstName": "JOSEPH",
    "OtherMiddleName": "G",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3155 LAKE WORTH RD STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM SPRINGS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33461-6917",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-858-8817",
    "MailingAddressFaxNumber": "561-878-8277",
    "FirstLinePracticeLocationAddress": "1502 LAKE TRAFFORD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "IMMOKALEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34142-2618",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-900-9170",
    "PracticeLocationAddressFaxNumber": "561-878-8277",
    "EnumerationDate": "08/28/2006",
    "LastUpdateDate": "03/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "15224",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "ACN252",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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