Individual
PROSPER JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
2343212
FL
183700000X
Pharmacy Technician
RPHT3903
FL
Other
Enumeration date
07/21/2014
Last updated
01/19/2017
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