Provider Demographics
NPI:1548555956
Name:JOSEPH, GEORGES JUNIOR (MD)
Entity Type:Individual
Prefix:
First Name:GEORGES
Middle Name:JUNIOR
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 BRAEMERE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0681
Mailing Address - Country:US
Mailing Address - Phone:239-292-1818
Mailing Address - Fax:
Practice Address - Street 1:10065 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613
Practice Address - Country:US
Practice Address - Phone:352-596-4660
Practice Address - Fax:352-596-4674
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136399207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology