Individual
DR. JOSE DAVID PUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6350 DAVIS BLVD # 1001, NAPLES, FL 34104-5323
(239) 658-3000
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3064
(239) 658-3175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME111013
FL
208000000X
Pediatrics Physician
Primary
ME111013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004105900
FLORIDA MEDICAID
FL
01
—
2-1547
MEDICARE
FL
Enumeration date
02/27/2006
Last updated
04/26/2023
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