Individual
DR. JESSICA SAJI JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2140 E EDGEWOOD DR, LAKELAND, FL 33803-3604
(863) 669-1212
(863) 666-6089
Mailing address
4500 PARSONS BLVD STE 410, FLUSHING, NY 11355-2205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME178742
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2023
Last updated
06/03/2026
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