Individual
JOSHUA BRENDAN PROEMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME134375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106196000
—
FL
Enumeration date
05/02/2016
Last updated
05/23/2025
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