Individual
CAROL J JOSEPHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
815 BRYAN RD, BRANDON, FL 33511-6132
(813) 810-6257
(866) 666-2451
Mailing address
815 BRYAN RD, BRANDON, FL 33511-6132
(813) 810-6257
(866) 666-2451
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
678549296
FL
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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