Individual
DR. JOSHUA KIEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5503 S CONGRESS AVE, SUITE 206, ATLANTIS, FL 33462-6625
(561) 433-0591
(561) 433-0891
Mailing address
5503 S CONGRESS AVE, SUITE 206, ATLANTIS, FL 33462-6625
(561) 433-0591
(561) 433-0891
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME30319
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME30319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038178100
—
FL
01
—
95238
BCBS FL
FL
01
—
P00609970
RAIL ROAD MEDICARE
FL
Enumeration date
06/13/2006
Last updated
01/23/2015
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