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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083605240 | NPPES |
| Florida | Other | 47885 | BLUE CROSS / BLUE SHIELD |
| Florida | MEDICAID | 265260900 | BLUE CROSS / BLUE SHIELD |
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