Provider Demographics
NPI:1275528564
Name:ALOISE, JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:ALOISE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18900 N TAMIAMI TRL
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-7312
Mailing Address - Country:US
Mailing Address - Phone:239-567-1000
Mailing Address - Fax:239-567-1008
Practice Address - Street 1:18900 N TAMIAMI TRL
Practice Address - Street 2:SUITE 9
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-7312
Practice Address - Country:US
Practice Address - Phone:239-567-1000
Practice Address - Fax:239-567-1008
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0007343207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL81580OtherBCBS
FL57561OtherBCBS
FL651072925OtherTIN
FL57561OtherBCBS
FL651072925OtherTIN
FL81580OtherBCBS
FLE65185Medicare UPIN
FL81580ZMedicare ID - Type UnspecifiedMEDICARE INDIVIDUAL