Provider Demographics
NPI:1316135262
Name:JOSEPH ALOISE, D.O.,P.A.
Entity type:Organization
Organization Name:JOSEPH ALOISE, D.O.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-567-1000
Mailing Address - Street 1:18900 N TAMIAMI TRL
Mailing Address - Street 2:SUITE 9
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-7312
Mailing Address - Country:US
Mailing Address - Phone:239-567-1000
Mailing Address - Fax:239-567-1008
Practice Address - Street 1:18900 N TAMIAMI TRL
Practice Address - Street 2:SUITE 9
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-7312
Practice Address - Country:US
Practice Address - Phone:239-567-1000
Practice Address - Fax:239-567-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88340207R00000X
FLOS0007343207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE65185Medicare UPIN