Provider Demographics
NPI:1750497541
Name:NG, JOSEPHINE MEEI (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:MEEI
Last Name:NG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4995 MILANO ST
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9545
Mailing Address - Country:US
Mailing Address - Phone:239-842-9199
Mailing Address - Fax:239-320-9986
Practice Address - Street 1:4995 MILANO ST
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-9545
Practice Address - Country:US
Practice Address - Phone:715-221-7590
Practice Address - Fax:715-387-5776
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI51605-21208100000X
FLOS19082208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation