MEDICARE: MS. JENNIE SUSAN JOSEPH LM, CPM

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
1	172V00000X	Community Health Worker
2	374J00000X	Doula
3	176B00000X	Midwife	MW0053	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205833266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIE SUSAN JOSEPH LM, CPM

Provider Business Mailing Address
First Line	:	213 S DILLARD ST
Second Line	:	SUITE 340
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3596
Country	:	US
Telephone Number	:	407-656-6938
Fax Number	:	407-656-9161

Provider Business Practice Location Address
First Line	:	213 S. DILLARD ST
Second Line	:	SUITE 340
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-2922
Country	:	US
Telephone Number	:	407-656-6938
Fax Number	:	407-656-9161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	12/13/2018

Similar Medicare Providers

1710907548 — JENNIE JOSEPH FAMILY SERVICES INC.
Practice Location Address:

1150 E PLANT ST , SUITE F
WINTER GARDEN, FL
34787-2922

Practice Phone: 407-656-6938
Practice Fax: 407-656-9161

1922554864 — LAUREN TRACY
Practice Location Address:

3130 LOWNDES DR
WINTER PARK, FL
32792-2922

Practice Phone: 407-766-3259
Practice Fax:

1386613362 — MICHAEL V GALLO M.D.
Practice Location Address:

1075 FRANKLIN AVE
GARDEN CITY, NY
11530-2922

Practice Phone: 516-248-7733
Practice Fax: 513-248-5031

1821067349 — VICTOR A. GALLO M.D.
Practice Location Address:

1075 FRANKLIN AVE
GARDEN CITY, NY
11530-2922

Practice Phone: 516-248-7733
Practice Fax: 516-248-5031

1316055767 — DR. JEFFREY M FALK M.D.
Practice Location Address:

1075 FRANKLIN AVE
GARDEN CITY, NY
11530-2922

Practice Phone: 516-248-7733
Practice Fax:

1619827326 — DAEJHA WILLIAMS
Practice Location Address:

1441 WINTER GARDEN VINELAND RD
WINTER GARDEN, FL
34787-4303

Practice Phone: 407-904-0135
Practice Fax:

Directions to “ MS. JENNIE SUSAN JOSEPH LM, CPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.