Individual
JOSEPH THOMAS SKAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8725 N WICKHAM RD, MELBOURNE, FL 32940-2239
(321) 434-9230
(321) 434-9269
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9230
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9117899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120138300
—
FL
01
—
RY483
MEDICARE HF
FL
Enumeration date
01/04/2022
Last updated
08/11/2025
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