Individual
JOEL JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-7000
Mailing address
145 SW 13TH ST, MIAMI, FL 33130-4226
(813) 767-1635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS17762
FL
208D00000X
General Practice Physician
Primary
OS17762
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2019
Last updated
02/04/2022
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