Basic Information
| Provider Information | |||||||||
| NPI: | 1093055824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOSEPH | ||||||||
| FirstName: | ADER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1800 MICCOSUKEE COMMONS DR APT 601 | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323085437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7868591778 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2001 WEST 68TH STREET | ||||||||
| Address2: | SUITE 202 PALMETTO GENERAL HOSPITAL, | ||||||||
| City: | HIALEAH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3053642107 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2013 | ||||||||
| LastUpdateDate: | 08/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | OS13603 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.