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Individual

DR. JOOBY JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2524
Mailing address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2524

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME114823
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME114823
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME114823
STATE LICENSE
FL
Enumeration date
09/01/2006
Last updated
01/28/2014
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