MEDICARE: FLORCY F JOSEPH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	104100000X	Social Worker	FL
2	1041C0700X	Clinical Social Worker	FL
3	171M00000X	Case Manager/Care Coordinator
4	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1306386859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORCY F JOSEPH

Provider Business Mailing Address
First Line	:	17850 NE 6TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33162-1101
Country	:	US
Telephone Number	:	786-308-5612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1990 NE 163RD ST STE 105
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4854
Country	:	US
Telephone Number	:	786-361-8519
Fax Number	:

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

Provider Enumeration Date	:	03/02/2017
Last Update Date	:	08/20/2020

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Directions to “ FLORCY F JOSEPH ” Practice Location

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