Individual
DR. JOSHUA A MULTACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2343 AARON ST, PORT CHARLOTTE, FL 33952-5305
(877) 856-3774
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS12381
FL
208M00000X
Hospitalist Physician
Primary
OS12381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105027100
—
FL
01
—
SE729
MEDICARE HF
FL
Enumeration date
03/20/2008
Last updated
10/02/2024
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