| Josephine Health Llc | |
|
3300 Dairy Rd Titusville FL 32796-1512 | |
| (248) 881-6763 | |
| Not Available |
| Full Name | Josephine Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3300 Dairy Rd, Titusville, Florida |
| Authorized Official Name and Position | Louis Joseph (OWNER) |
| Authorized Official Contact | 2488816763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine Health Llc 302 E Lakewood Rd West Palm Beach FL 33405-2902 Ph: (248) 881-6763 | Josephine Health Llc 3300 Dairy Rd Titusville FL 32796-1512 Ph: (248) 881-6763 |
| NPI Number | 1619323441 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Medicare PECOS PAC ID | 3870993587 |
|---|---|
| Medicare Enrollment ID | O20210617001800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619323441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME121826 (Florida) | Primary |
| Provider Name | Louis Theodore Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013167170 PECOS PAC ID: 0941471726 Enrollment ID: I20141217001520 |
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