Individual
SUHAS VISHNU JOSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1543 KINGSLEY AVE STE 14, ORANGE PARK, FL 32073-4570
(904) 264-6977
(904) 269-0870
Mailing address
1543 KINGSLEY AVE STE 14, ORANGE PARK, FL 32073-4570
(904) 264-6977
(904) 269-0870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME73086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120400
—
FL
01
—
41996U
MEDICARE
FL
01
—
ME73086
STATE LICENSE
FL
Enumeration date
07/24/2006
Last updated
03/07/2023
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