Provider Demographics
NPI:1013962158
Name:LLINAS, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:LLINAS
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 1:485 MINUTEMEN CSWY
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931
Mailing Address - Country:US
Mailing Address - Phone:321-613-5595
Mailing Address - Fax:321-613-8477
Practice Address - Street 1:465 MINUTEMEN CSWY UNIT 485
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-2828
Practice Address - Country:US
Practice Address - Phone:321-613-5595
Practice Address - Fax:321-613-8477
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1167322084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL593VFOtherBCBS
FL009418700Medicaid
FL593VFOtherBCBS