Provider Demographics
NPI:1396733721
Name:INZINNA, JOSEPH DUBOIS (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DUBOIS
Last Name:INZINNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 SW 144TH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7296
Mailing Address - Country:US
Mailing Address - Phone:786-596-7383
Mailing Address - Fax:
Practice Address - Street 1:8750 SW 144TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-7296
Practice Address - Country:US
Practice Address - Phone:786-596-7383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA069801002085R0202X
FLME1179692085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H01799Medicare UPIN