Provider Demographics
NPI:1639231590
Name:CERAMI, JOSEPH VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VINCENT
Last Name:CERAMI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3801 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-9800
Mailing Address - Country:US
Mailing Address - Phone:305-571-0620
Mailing Address - Fax:305-576-8099
Practice Address - Street 1:400 N HIATUS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5214
Practice Address - Country:US
Practice Address - Phone:954-433-5666
Practice Address - Fax:954-433-5592
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2022-02-10
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Provider Licenses
StateLicense IDTaxonomies
FLME58071207R00000X
FLME0058071207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261458800Medicaid
FL261458800Medicaid