Iacobelli, Joan Weber

Iacobelli, Joan Weber is an individual health care provider with primary practice located at 2864 Wellness Ave Ste 200 , Orange City FL 32763-8335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Iacobelli, Joan Weber can be contacted via phone (386) 775-0333.

Contact Information

Primary practice address
2864 Wellness Ave Ste 200 Orange City FL 32763-8335
Fax: (386) 775-0427
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 16001 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 108529 Florida

Profile Details

NPI number 1144267121
LBN Legal business name Iacobelli, Joan Weber
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 31st, 2020 - about 4 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 1144267121 NPPES
Florida MEDICAID 003413400
Florida Other 051083966
Florida MEDICAID 000083966
Florida Other 14C4Y

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