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NPI Code Detail

MEDICARE: ADELE JOSEPH

MEDICARE: ADELE JOSEPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174469175
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADELE JOSEPH
Provider Business Mailing Address
First Line : 2716 SE KERN RD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34984-8926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2716 SE KERN RD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34984-8926
Country : US
Telephone Number : 561-273-5367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ ADELE JOSEPH ” Practice Location

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