Individual
MR. JOSEPH W. PERMUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3600
(904) 858-3948
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3355082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308165600
—
FL
05
—
669687437A
—
GA
Enumeration date
02/06/2007
Last updated
09/21/2011
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