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NPI Code Detail

MEDICARE: DR. GINA JOSEPH MD

MEDICARE:  DR. GINA  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
1207R00000XInternal Medicine PhysicianME117384FL
2207R00000XInternal Medicine PhysicianME117384NY

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 : 1346433737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GINA JOSEPH MD
Provider Business Mailing Address
First Line : 8333 NW 53RD ST FL 6
Second Line :
City : DORAL
State : FL
Zip : 33166-4783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11700 OKEECHOBEE BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-8721
Country : US
Telephone Number : 561-790-0789
Fax Number : 561-790-3884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2007
Last Update Date : 06/02/2026

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