Gaetjens Tardellie Joseph, is a
Family Medicine physician based in Mangonia Park, Florida. Gaetjens Tardellie Joseph is licensed to practice in Florida (license number .) and her current practice location is 901 45th St, Mangonia Park, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 844-6300.
NPI number for Gaetjens Tardellie Joseph is 1881450401 and her current mailing address is 901 45th St, Mangonia Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881450401.
Physician's Profile
| Full Name | Gaetjens Tardellie Joseph |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 901 45th St, Mangonia Park, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881450401
- Provider Enumeration Date: 02/21/2024
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Gaetjens Tardellie Joseph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881450401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | . (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gaetjens Tardellie Joseph is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gaetjens Tardellie Joseph,
901 45th St,
Mangonia Park, FL 33407-2413
Ph: (561) 844-6300 | Gaetjens Tardellie Joseph,
901 45th St,
Mangonia Park, FL 33407-2413
Ph: (561) 844-6300 |
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