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General NPI Number Information
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NPI Number | 1760453039
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Entity Type | Individual
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Provider Name | JOSEF FREDERICK DOENGES M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 9170 OAKHURST RD STE 1
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City | SEMINOLE
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State | FL
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Zip | 33776-2112
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Country | US
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Telephone | 813-321-1786
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Fax | 813-321-1787
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | ME147442
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | ME147442
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME147442
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License Number State | FL
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