Individual
NISARG P JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 367-6346
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME151431
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME151431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111261700
—
FL
01
—
GFNZ7
BCBS
FL
Enumeration date
04/27/2017
Last updated
09/15/2023
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