Provider Demographics
NPI:1720785900
Name:JOSHUA HEALTH PLLC
Entity Type:Organization
Organization Name:JOSHUA HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJOR-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:754-280-7772
Mailing Address - Street 1:17547 SW 46TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2787
Mailing Address - Country:US
Mailing Address - Phone:754-280-7772
Mailing Address - Fax:
Practice Address - Street 1:17547 SW 46TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-2787
Practice Address - Country:US
Practice Address - Phone:754-280-7772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0005XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurodevelopmental DisabilitiesGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty