MEDICARE: DR. GEORGE 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
1	261QS0132X	Ophthalmologic Surgery Clinic/Center

General Provider Information

NPI Number	:	1346638780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. GEORGE JOSEPH

Provider Business Mailing Address
First Line	:	12412 HYMEADOW DR
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78750
Country	:	US
Telephone Number	:	561-965-9110
Fax Number	:	706-243-4627

Provider Business Practice Location Address
First Line	:	2000 PALM BEACH LAKES BLVD
Second Line	:	SUITE 800
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6503
Country	:	US
Telephone Number	:	561-965-9110
Fax Number	:	706-243-4627

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GEORGE JOSEPH
Credential	:	MD
Telephone Number	:	512-249-9117

Provider Enumeration Date	:	01/08/2015
Last Update Date	:	01/08/2015

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Directions to “DR. GEORGE JOSEPH ” Practice Location

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