Mace, Joseph R

Mace, Joseph R is an individual health care provider with primary practice located at 1201 5Th Ave N Suite 505, St Petersburg FL 33705-1455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Mace, Joseph R can be contacted via phone (727) 821-0017.

Contact Information

Primary practice address
1201 5Th Ave N Suite 505 St Petersburg FL 33705-1455
Phone: (727) 821-0017
Fax: (727) 502-8861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME85939 Florida
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME85939 Florida

Profile Details

NPI number 1083605240
LBN Legal business name Mace, Joseph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Aug 10th, 2022 - about 2 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 1083605240 NPPES
Florida Other 47885 BLUE CROSS / BLUE SHIELD
Florida MEDICAID 265260900 BLUE CROSS / BLUE SHIELD

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