Provider Demographics
NPI:1023380599
Name:JOSHI, NEESHA PATEL (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:NEESHA
Middle Name:PATEL
Last Name:JOSHI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NEESHA
Other - Middle Name:RAMUBHAI
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2031 PALM BEACH LAKES BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6500
Mailing Address - Country:US
Mailing Address - Phone:561-681-9808
Mailing Address - Fax:561-689-9499
Practice Address - Street 1:2031 PALM BEACH LAKES BLVD
Practice Address - Street 2:STE 100
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6500
Practice Address - Country:US
Practice Address - Phone:561-681-9808
Practice Address - Fax:561-689-9499
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105155363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant