Individual
AUGUSTINE V JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 DAVISSON AVE, SUITE A, ORLANDO, FL 32810-5350
(407) 290-1558
(407) 292-8852
Mailing address
5200 DAVISSON AVE, SUITE A, ORLANDO, FL 32810-5350
(407) 290-1558
(407) 292-8852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME59230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055098100
—
FL
Enumeration date
01/11/2006
Last updated
08/27/2014
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