Individual
JOSH SEBAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7710 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-2320
(772) 335-3500
(772) 200-2131
Mailing address
3009 ALOMA AVE, WINTER PARK, FL 32792-3701
(407) 657-9188
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO4083
STATE PODIATRY LICENSE
FL
Enumeration date
04/11/2017
Last updated
09/01/2020
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