Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS17901 | FL |
NPI | 1801243118 |
---|---|
Provider Name | Dr. Joseph Derbyshire |
First Address | Wesley Chapel, FL 33544-6910 |
Second Address | Zephyrhills, FL 33542-2531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2016 |
Last Update Date | 25/08/2021 |