Individual
DR. JOSEPH ALBERT NINKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 284-1730
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME85949
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
84424
GA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME85949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962491167
NPI
FL
Enumeration date
10/19/2005
Last updated
11/04/2020
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