Provider Demographics
NPI:1811320633
Name:JOSHUA, TINA A (PA)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:A
Last Name:JOSHUA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:21097 NE 27TH CT STE 320
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1206
Mailing Address - Country:US
Mailing Address - Phone:305-933-9440
Mailing Address - Fax:305-933-9424
Practice Address - Street 1:21097 NE 27TH CT STE 320
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1206
Practice Address - Country:US
Practice Address - Phone:305-933-9440
Practice Address - Fax:305-933-9424
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2022-01-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant