Individual
DR. JOSEPH R SHIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
PO BOX 44008, UFJP-PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1013
NC
207P00000X
Emergency Medicine Physician
ME100022
FL
207P00000X
Emergency Medicine Physician
N4745
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME100022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003105970A
—
GA
01
—
129EY
BCBS NC
NC
01
—
1437130184
BLUE CROSS BLUE SHIELD
TX
05
—
207763803
—
TX
05
—
279791701
—
FL
05
—
89129EY
—
NC
01
—
930113588
RAILROAD MEDICARE
NC
01
—
P00838042
MEDICARE RAILROAD
TX
Enumeration date
11/09/2005
Last updated
04/27/2017
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