Provider Demographics
NPI:1982620589
Name:JOSEFA L. BINKER M.D., P.A.
Entity Type:Organization
Organization Name:JOSEFA L. BINKER M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEFA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BINKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-242-5225
Mailing Address - Street 1:70 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4405
Mailing Address - Country:US
Mailing Address - Phone:305-242-5225
Mailing Address - Fax:305-242-6525
Practice Address - Street 1:70 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4405
Practice Address - Country:US
Practice Address - Phone:305-242-5225
Practice Address - Fax:305-242-6525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0001657207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274110500Medicaid
FLE22501Medicare UPIN
FLQ0315Medicare ID - Type Unspecified
FL08484Medicare ID - Type Unspecified
FL08484XMedicare ID - Type Unspecified