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JOSEPH J DAVERSA JR MD PA NPI 1952377764


NPI Information

NPI: 1952377764
Provider Name: JOSEPH J DAVERSA JR MD PA
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
12368 SW 82ND AVE
MIAMI, FL
ZIP 33156
Phone: (305) 253-4218
Get Directions

JOSEPH J DAVERSA JR MD PA is a psychiatry psychiatry neurology in Miami, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. JOSEPH J DAVERSA JR MD PA NPI is 1952377764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12368 SW 82ND AVE
MIAMI, FL
ZIP 33156-223
Phone: (305) 253-4218
Fax: (305) 233-5844

The provider's authorized official is Joseph James Daversa .
The authorized official title is President and has the following contact phone number (305) 253-4218.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 3/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryME 0014994FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EF832AMEDICARE PINFLORIDA
2D86486MEDICARE UPINFLORIDA
3049162400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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