Funk, Joseph D

Funk, Joseph D is an individual health care provider with primary practice located at 25 W Crystal Lake St Suite 200, Orlando FL 32806-4475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Funk, Joseph D can be contacted via phone (407) 254-2500.

Contact Information

Primary practice address
25 W Crystal Lake St Suite 200 Orlando FL 32806-4475
Phone: (407) 254-2500
Fax: (407) 254-2557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X PO00002620 Florida

Profile Details

NPI number 1023089869
LBN Legal business name Funk, Joseph D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 10th, 2010 - about 15 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 1023089869 NPPES
Florida MEDICAID 390344300

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