Individual
MR. JOE SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2502 W SAINT ISABEL ST STE B, TAMPA, FL 33607-6318
(813) 874-5707
Mailing address
411 N FEDERAL HWY APT 408, HALLANDALE BEACH, FL 33009-3483
(352) 431-0989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9111972
FL
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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