Joseph J Daversa Jr Md Pa

LBN: Joseph J Daversa Jr Md Pa
Joseph J Daversa Jr Md Pa is an health care organization with primary practice located at 12368 Sw 82Nd Ave , Miami FL 33156-5223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Joseph J Daversa Jr Md Pa can be contacted via phone (305) 253-4218, or through Daversa, Joseph James via phone (305) 253-4218.

Contact Information

Primary practice address
12368 Sw 82Nd Ave Miami FL 33156-5223
Phone: (305) 253-4218
Fax: (305) 233-5844
Website:
Map and Directions
Authorized official contact:
Name: Daversa, Joseph James Doctor of Medicine (MD)
Phone: (305) 253-4218

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 0014994 Florida

Profile Details

NPI number 1952377764
LBN Legal business name Joseph J Daversa Jr Md Pa
DBA Doing business as
Authorized official Daversa, Joseph James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 30th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952377764 NPPES
Florida MEDICAID 049162400

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