Provider Demographics
NPI:1396150868
Name:JOSEPH, CHRISTY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8620 E COUNTY ROAD 466
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-3670
Mailing Address - Country:US
Mailing Address - Phone:352-399-7295
Mailing Address - Fax:352-399-7294
Practice Address - Street 1:8620 E COUNTY ROAD 466
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-3670
Practice Address - Country:US
Practice Address - Phone:352-399-7295
Practice Address - Fax:352-399-7294
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9113404363A00000X
NJ25MP00348200363A00000X
NY017738363A00000X
TXPA09396363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant