Provider Demographics
NPI:1720498470
Name:LIMAGE, JOSUE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSUE
Middle Name:
Last Name:LIMAGE
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 1:2789 S STATE ROAD 7 STE 100200
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9359
Mailing Address - Country:US
Mailing Address - Phone:561-898-5100
Mailing Address - Fax:561-898-5101
Practice Address - Street 1:2789 S STATE ROAD 7 # 100200
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9359
Practice Address - Country:US
Practice Address - Phone:561-898-5100
Practice Address - Fax:561-898-5101
Is Sole Proprietor?:No
Enumeration Date:2014-05-03
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD3VQ5OtherFLORIDA BLUE
FL021504400Medicaid