Gaetjens Tardellie Joseph

NPI #1881450401 in Mangonia Park, Florida

Provider Information

NPI Number: 1881450401
Entity Type: Individual
Name: Gaetjens Tardellie Joseph
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Enumeration Date: Feb 21, 2024
Last Updated: Feb 21, 2024

Practice Location

Address: 901 45TH ST
City: Mangonia Park
State: Florida
ZIP Code: 33407-2413
Phone: (561) 844-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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