Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ARNP9259351 | FL |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | ARNP9259531 | FL |
NPI | 1154797470 |
---|---|
Provider Name | Jocelin Joseph |
First Address | Fort Myers, FL 33967-5713 |
Second Address | Fort Myers, FL 33967-5713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2015 |
Last Update Date | 01/07/2019 |