Individual
DR. JEEVAN PAULY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 341-0288
(859) 341-7482
Mailing address
9400 TURKEY LAKE RD, ORLANDO, FL 32819-8001
(321) 843-5500
(321) 843-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55956
KY
207R00000X
Internal Medicine Physician
ME139375
FL
Other
Enumeration date
05/14/2016
Last updated
08/09/2023
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