Individual
JOSEPH L SOMERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 BEVERLY BLVD, BRANDON, FL 33511-5507
(813) 689-0908
Mailing address
405 BEVERLY BLVD, BRANDON, FL 33511-5507
(813) 689-0908
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120040300
—
FL
Enumeration date
11/08/2024
Last updated
11/25/2024
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