Provider Demographics
NPI:1285902353
Name:HAND & SHOULDER INSTITUTE OF FLORIDA CORPORATION
Entity type:Organization
Organization Name:HAND & SHOULDER INSTITUTE OF FLORIDA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL PROVIDER/SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:B
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-564-0444
Mailing Address - Street 1:7394 W GULF TO LAKE HWY
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7802
Mailing Address - Country:US
Mailing Address - Phone:352-564-0444
Mailing Address - Fax:352-794-6055
Practice Address - Street 1:7394 W GULF TO LAKE HWY
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7802
Practice Address - Country:US
Practice Address - Phone:352-564-0444
Practice Address - Fax:352-794-6055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98412174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL64225OtherBCBS
FL64225OtherBCBS