Individual
JOSEPH TAVERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5160 S JOHN YOUNG PKWY, ORLANDO, FL 32839-5022
(844) 665-4827
Mailing address
111 CALLE DR LASSISSE, BO PARIS ALTO, MAYAGUEZ, PR 00680-5434
(305) 726-9772
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1118
FL
282N00000X
General Acute Care Hospital
19476
PR
Other
Enumeration date
09/14/2016
Last updated
11/06/2019
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