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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306997192 | NPPES |
Florida | MEDICAID | 3031454-00 |
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