Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME 79099 | FL |
NPI | 1215921895 |
---|---|
Provider Name | Dr. Sunil N Joshi |
First Address | Jacksonville, FL 32216-4371 |
Second Address | Jacksonville, FL 32216-4371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 23/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H11188 | (02) | FL |