Provider Demographics
NPI:1497749311
Name:KAMINSKI, JOSEPH JOHN (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:KAMINSKI
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 1:12065 GRANITE WOODS LOOP
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-4139
Mailing Address - Country:US
Mailing Address - Phone:941-497-7308
Mailing Address - Fax:
Practice Address - Street 1:1455 E VENICE AVE
Practice Address - Street 2:#211
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-3075
Practice Address - Country:US
Practice Address - Phone:941-488-1906
Practice Address - Fax:941-488-1806
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9918207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease