MEDICARE: ANTHONY P JOSEPH MD PA

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	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DA4007	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34182	OTHER	FL	BLUECROSS BLUESHEILD

General Provider Information

NPI Number	:	1336198241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY P JOSEPH MD PA

Provider Business Mailing Address
First Line	:	793 HEALTH CARE DR
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8334
Country	:	US
Telephone Number	:	386-753-0000
Fax Number	:	386-753-0001

Provider Business Practice Location Address
First Line	:	793 HEALTH CARE DR
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8334
Country	:	US
Telephone Number	:	386-753-0000
Fax Number	:	386-753-0001

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY P JOSEPH
Credential	:	M.D.
Telephone Number	:	386-753-0000

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	02/21/2008

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