Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | ME 59229 | FL |
NPI | 1992809545 |
---|---|
Provider Name | Dr. Annie Joseph |
First Address | Pinellas Park, FL 33782-4302 |
Second Address | St Petersburg, FL 33708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 08/07/2007 |