Provider Demographics
NPI:1205865748
Name:APONTE, JOSEF H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEF
Middle Name:H
Last Name:APONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:325 5TH AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4273
Mailing Address - Country:US
Mailing Address - Phone:321-821-4889
Mailing Address - Fax:321-821-4890
Practice Address - Street 1:325 5TH AVE
Practice Address - Street 2:STE. 204
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4273
Practice Address - Country:US
Practice Address - Phone:321-821-4889
Practice Address - Fax:321-821-4890
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89621207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU2169AMedicare ID - Type Unspecified
FLE38501Medicare UPIN