| Joshua Health Pllc | |
|
17547 Sw 46th St Miramar FL 33029-2787 | |
| (754) 280-7772 | |
| Not Available |
| Full Name | Joshua Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17547 Sw 46th St, Miramar, Florida |
| Authorized Official Name and Position | Sheridan Major-moore (CEO) |
| Authorized Official Contact | 7542807772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Health Pllc 17547 Sw 46th St Miramar FL 33029-2787 Ph: (754) 280-7772 | Joshua Health Pllc 17547 Sw 46th St Miramar FL 33029-2787 Ph: (754) 280-7772 |
| NPI Number | 1720785900 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 9537523279 |
|---|---|
| Medicare Enrollment ID | O20230913001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720785900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | (* (Not Available)) | Primary |
| Provider Name | Sheridan Latoya Major-moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073905121 PECOS PAC ID: 0840581153 Enrollment ID: I20170816004370 |
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