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NPI Code Detail

MEDICARE: MR. WADNEL JOSEPH

MEDICARE:  MR. WADNEL  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
1247200000XOther Technician

Other Identifiers

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

General Provider Information

NPI Number : 1275002115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WADNEL JOSEPH
Provider Business Mailing Address
First Line : 1206 S M ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-5672
Country : US
Telephone Number : 561-420-1439
Fax Number :
Provider Business Practice Location Address
First Line : 1206 S M ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-5672
Country : US
Telephone Number : 561-420-1439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2018
Last Update Date : 11/21/2018

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