Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME89315 | FL |
Y | 208600000X | Surgeon | ME89315 | FL |
NPI | 1003844085 |
---|---|
Provider Name | Joshua C Kreithen |
First Address | Sarasota, FL 34237-6045 |
Second Address | Sarasota, FL 34237-6014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 20/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00027098701 | UNIVERA (01) | FL |
200765427001 | MEDICAL MUTUAL (01) | |
269798000 | (05) | FL |
37869 | BCBS (01) | FL |
462978 | AMERIHEALTH (01) | FL |
5604545 | CIGNA (01) | FL |
7243539 | AETNA (01) | FL |
7604217 | GHI (01) | FL |
FL0003764 | TRICARE CHAMPUS (01) | FL |
I10433 | (02) | FL |
N244654 | STAYWELL HEALTHEASE WELLC (01) | FL |
P00228445 | RAIL ROAD MEDICARE (01) | FL |