Provider Demographics
NPI:1487603353
Name:BINKER, JOSEFA L (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEFA
Middle Name:L
Last Name:BINKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4405
Mailing Address - Country:US
Mailing Address - Phone:305-242-5225
Mailing Address - Fax:305-242-6525
Practice Address - Street 1:70 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4405
Practice Address - Country:US
Practice Address - Phone:305-242-5225
Practice Address - Fax:305-242-6525
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL55441207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274110500Medicaid
FLE22501Medicare UPIN
FL08484XMedicare ID - Type Unspecified
FL274110500Medicaid