Provider Demographics
NPI:1508872318
Name:KAWEBLUM, YOSEF AARON (MD)
Entity Type:Individual
Prefix:
First Name:YOSEF
Middle Name:AARON
Last Name:KAWEBLUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6909 SW 18TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7078
Mailing Address - Country:US
Mailing Address - Phone:561-347-8382
Mailing Address - Fax:561-347-8487
Practice Address - Street 1:6909 SW 18TH ST STE 202
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7078
Practice Address - Country:US
Practice Address - Phone:561-347-8382
Practice Address - Fax:561-347-8487
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL456592080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine