Provider Demographics
NPI:1962635276
Name:PASCHAL, JOSSY VICTORIA (DPM)
Entity Type:Individual
Prefix:
First Name:JOSSY
Middle Name:VICTORIA
Last Name:PASCHAL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 NE 195TH ST
Mailing Address - Street 2:#222
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3339
Mailing Address - Country:US
Mailing Address - Phone:305-653-9825
Mailing Address - Fax:305-653-9825
Practice Address - Street 1:665 NE 195TH ST
Practice Address - Street 2:#222
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3339
Practice Address - Country:US
Practice Address - Phone:305-653-9825
Practice Address - Fax:305-653-9825
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3398213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX342726201Medicaid
TX342726202Medicaid
TXP01362495OtherRAILROAD MEDICARE
TX342726203Medicaid
TX342726202Medicaid
TX342726203Medicaid
TXP01362495OtherRAILROAD MEDICARE