Provider Demographics
NPI:1639231590
Name:CERAMI, JOSEPH VINCENT (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VINCENT
Last Name:CERAMI
Suffix:
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 1:15100 NW 67TH AVE STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2103
Practice Address - Country:US
Practice Address - Phone:305-571-0620
Practice Address - Fax:954-991-9811
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2024-11-07
Deactivation Date:
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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