Individual
DR. JOSE DAVID PUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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