Individual
DR. JOESPH MARK MAVICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 NORTH MILITARY TRAIL, SUITE 215, BOCA RATON, FL 33431
(561) 395-3778
(561) 395-5691
Mailing address
18269 FRESH LAKE WAY, BOCA RATON, FL 33498-1950
(561) 395-3778
(561) 395-5691
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
050006380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1529773
VBH
FL
01
—
9125960
AETNA
FL
Enumeration date
11/20/2006
Last updated
02/01/2022
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