Individual
MR. JOE C FLORICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
448 NEWTON ST, SAINT JOSEPH, LA 71366-4330
(318) 766-8506
(318) 435-7458
Mailing address
PO BOX 1300, WINNSBORO, LA 71295-1300
(318) 435-9411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05075
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12206864
CAQH
LA
05
—
1454346
—
LA
01
—
3A019
MEDICARE
LA
01
—
P02474662
RR MEDICARE
LA
Enumeration date
11/07/2006
Last updated
05/06/2021
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