Jose David Puell in Immokalee - Pediatrics

Jose David Puell - NPI 1376519553

Jose David Puell is a Pediatrics in Immokalee, Florida. Jose David Puell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jose David Puell is 1376519553. The last update date is 2023-04-26.

Jose David Puell's current location address is 1454 Madison Ave W, Immokalee, Florida. You can contact this provider via phone number 2396583064 and fax number 2396583175. The mailing address for Jose David Puell is 1454 Madison Ave W, Immokalee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose David Puell
Address 1454 Madison Ave W, Immokalee, Florida
Phone Number 2396583064
Fax Number 2396583175
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376519553
Provider Enumeration Date 2006-02-27
Last Updated Date 2023-04-26

Provider Mailing Address Detail

Address 1454 Madison Ave W
City Immokalee
State Florida (FL)
Post Code 341422200
Phone Number 2396583064
Fax Number 2396583175

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No ME111013
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4105900 FL FLORIDA MEDICAID
2-1547 FL MEDICARE

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FAQs about Jose David Puell

What is the Jose David Puell's 1376519553?

The Jose David Puell's NPI (National Provider Identifier) Number is 1376519553. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jose David Puell located?

The Jose David Puell is located at 1454 Madison Ave W, Immokalee, FL 341422200.

What is Jose David Puell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jose David Puell is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did Jose David Puell receive its 1376519553 assignment from the Centers for Medicare & Medicaid Services?

The Jose David Puell was assigned its 1376519553 on 2006-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jose David Puell most recently updated or revised?

The information pertaining to Jose David Puell, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-26.

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