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NPI Code Detail

MEDICARE: MRS. ANA GABRIELA JOSEPH LCSW

MEDICARE: MRS. ANA GABRIELA JOSEPH LCSW
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
11041C0700XClinical Social WorkerSW10585FL

General Provider Information

NPI Number : 1902174246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANA GABRIELA JOSEPH LCSW
Provider Business Mailing Address
First Line : 5265 NE 3RD TER
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33334-2403
Country : US
Telephone Number : 954-257-6013
Fax Number :
Provider Business Practice Location Address
First Line : 1925 S PERIMETER RD STE 120
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-7123
Country : US
Telephone Number : 954-958-0988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 12/01/2011

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