Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 243197 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME101718 | FL |
NPI | 1336330778 |
---|---|
Provider Name | Dr. Samuel Abraham Joseph JR. |
First Address | Safety Harbor, FL 34695-4659 |
Second Address | Safety Harbor, FL 34695-4659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 17/09/2008 |