Provider Demographics
NPI:1003403064
Name:JOSIL, GUELDA
Entity Type:Individual
Prefix:
First Name:GUELDA
Middle Name:
Last Name:JOSIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 NE 139TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-3445
Mailing Address - Country:US
Mailing Address - Phone:786-985-3935
Mailing Address - Fax:
Practice Address - Street 1:1270 NE 139TH ST APT 4
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-3445
Practice Address - Country:US
Practice Address - Phone:786-985-3935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9544300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse