MEDICARE: DR. JOSHUA ANTONIO OSPINA DMD

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	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	DN26773	FL

General Provider Information

NPI Number	:	1851985519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA ANTONIO OSPINA DMD

Provider Business Mailing Address
First Line	:	1325 PINE ST STE 102
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3189
Country	:	US
Telephone Number	:	321-725-5377
Fax Number	:

Provider Business Practice Location Address
First Line	:	1849 JESS PARRISH CT
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32796-2123
Country	:	US
Telephone Number	:	321-725-5377
Fax Number	:

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

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	07/01/2026

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