Provider Demographics
NPI:1982390332
Name:GIL, JOSEPH JULIAN (LMT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JULIAN
Last Name:GIL
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 FALCON AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-3907
Mailing Address - Country:US
Mailing Address - Phone:305-397-7205
Mailing Address - Fax:
Practice Address - Street 1:6921 LOCH NESS DR
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6005
Practice Address - Country:US
Practice Address - Phone:305-397-7205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA81234225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist