MEDICARE: DR. JOSHUA G BRISCOE 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
1	207P00000X	Emergency Medicine Physician	ME107300	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609027200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA G BRISCOE MD

Provider Business Mailing Address
First Line	:	4901 VINELAND RD STE 350
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-7192
Country	:	US
Telephone Number	:	407-469-5088
Fax Number	:	407-588-4885

Provider Business Practice Location Address
First Line	:	4901 VINELAND RD STE 350
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-7192
Country	:	US
Telephone Number	:	407-697-1096
Fax Number	:	407-588-4885

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

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	03/17/2025

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