Provider Demographics
NPI:1457614414
Name:BRITT, JOSHUA ROSS (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ROSS
Last Name:BRITT
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:410 CELEBRATION PLACE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747
Mailing Address - Country:US
Mailing Address - Phone:321-939-0222
Mailing Address - Fax:321-939-0225
Practice Address - Street 1:2954 MALLORY CIR STE 101
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-1822
Practice Address - Country:US
Practice Address - Phone:321-939-0222
Practice Address - Fax:321-939-0225
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-24
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO3622213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPR239OtherSTATE LISCENSE