Individual
JOSEPH RADICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2513 S DIXIE HWY, WEST PALM BEACH, FL 33401-7917
(561) 331-2983
Mailing address
636 FERN ST, WEST PALM BEACH, FL 33401-5712
(845) 863-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001012360
NC
363A00000X
Physician Assistant
085.008904
IL
363A00000X
Physician Assistant
Primary
9106969
FL
363A00000X
Physician Assistant
PA59144
CA
363AM0700X
Medical Physician Assistant
016134-1
NY
Other
Enumeration date
10/25/2012
Last updated
12/20/2022
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