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NPI Code Detail

MEDICARE: DR. MICHELLE A. JOSEPH MD

MEDICARE: DR. MICHELLE A. JOSEPH MD
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
1208D00000XGeneral Practice Physician18930PR
2208D00000XGeneral Practice PhysicianACN-849FL

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 : 1336545375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE A. JOSEPH MD
Provider Business Mailing Address
First Line : 1918 BLANDING BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3202
Country : US
Telephone Number : 904-389-6954
Fax Number :
Provider Business Practice Location Address
First Line : 1918 BLANDING BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3202
Country : US
Telephone Number : 904-389-6954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 04/18/2018

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Directions to “ DR. MICHELLE A. JOSEPH MD” Practice Location

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