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Mr. Michael Josaphat
Radiologic Technologist in Lake Worth, Florida
NPI 1689123382

Michael Josaphat is a Radiologic Technologist based in Lake Worth, FL. Michael Josaphat practices in Lake Worth, FL. The NPI Number for Michael Josaphat is 1689123382 and holds a License No. CRT57773 (Florida).

The current practice location address for Michael Josaphat is 2311 10Th Ave N, Lake Worth, FL and can be reached out via phone at 954-234-9203 and via fax at 561-469-6719.

Location: 2311 10Th Ave N, Lake Worth, FL, 33461-6605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689123382
Provider Name
Michael Josaphat
Credential
Provider Entity Type
Individual
Gender
Male
Address
2311 10Th Ave N, Lake Worth, FL, 33461-6605
Phone Number
954-234-9203
Fax Number
561-469-6719
Provider Enumeration Date
09/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HCC10329 01 FL AHCA
institution
Provider Business Practice Location Address Details
Address
2311 10Th Ave N
City
Lake Worth
State
Florida
Zip
33461-6605
Phone Number
954-234-9203
Fax Number
561-469-6719
person
Provider Business Mailing Address Details
Address
2311 10Th Ave N
City
Lake Worth
State
Florida
Zip
33461-6605
Phone Number
954-234-9203
Fax Number
561-469-6719
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
CRT57773 (Florida)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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