Desantis, Joseph

Desantis, Joseph is an individual health care provider with primary practice located at 1580 Nw 10Th Ave 2Nd Floor, Miami FL 33136-1013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Desantis, Joseph can be contacted via phone (305) 243-4546.

Contact Information

Primary practice address
1580 Nw 10Th Ave 2Nd Floor Miami FL 33136-1013
Phone: (305) 243-4546
Fax: (305) 243-5562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP2865622 Florida

Profile Details

NPI number 1306997192
LBN Legal business name Desantis, Joseph
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 1st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306997192 NPPES
Florida MEDICAID 3031454-00

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