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NPI Code Detail

MEDICARE: JOSEPH ELEUSIPO PISA

MEDICARE:   JOSEPH ELEUSIPO PISA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1780514455
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ELEUSIPO PISA
Provider Business Mailing Address
First Line : 1104 NEWELL DRIVE
Second Line :
City : GAINESVILLE
State : FL
Zip : 32611-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 316 CALHOUN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-1113
Country : US
Telephone Number : 843-724-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ JOSEPH ELEUSIPO PISA ” Practice Location

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