Individual
CINDY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1223 GATEWAY DR STE 2G, MELBOURNE, FL 32901-2607
(321) 312-3503
(321) 725-7028
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3503
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01079101A
IN
2084N0400X
Neurology Physician
Primary
ME159233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116167700
—
FL
05
—
300007271
—
IN
01
—
471400504
MEDICARE
IN
01
—
P9511
MEDICARE
FL
Enumeration date
04/16/2012
Last updated
01/04/2023
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