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GAETJENS TARDELLIE JOSEPH
NPI 1881450401
Family Medicine in Mangonia Park, FL

Active since February 21, 2024
901 45TH ST, MANGONIA PARK, FL 33407(561) 844-6300 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gaetjens Tardellie Joseph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAETJENS TARDELLIE JOSEPH (NPI 1881450401) is an individual family medicine provider in Mangonia Park, Florida, licensed in Florida (.) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1881450401
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGAETJENS TARDELLIE JOSEPH
Location Address901 45TH STMangonia Park, FL 33407-2413
Mailing Address901 45th StMangonia Park, FL 33407-2413 · (561) 844-6300
Phone(561) 844-6300
Sole ProprietorYes
Enumeration DateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1881450401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · .
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
901 45TH ST, Mangonia Park, FL 33407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN C RAMOS-CANSECO M.D.
Psychiatry & Neurology (Neurocritical Care)
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 882-6214
MS. KATHLEEN ANNE THIBEAULT CRNA
Nurse Anesthetist, Certified Registered
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 840-3444
DR. TONYA GRAHAM PHARM D, CPH, RPH
Pharmacist
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 351-7524
TYLER DOUGLAS BRODEUR
Physician Assistant
901 45TH ST
MANGONIA PARK, FL 33407
Palm Beach County (561) 844-5255
JESSICA SHUTES
Physical Therapist
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 844-7878
KYLE GERAKOPOULOS M.D.
Emergency Medicine
901 45TH ST
MANGONIA PARK, FL 33407
Palm Beach County (561) 882-9944
ALYSSA LANDAU
Physician Assistant
901 45TH ST, KIMMEL BLDG
WEST PALM BEACH, FL 33407
Palm Beach County (561) 844-5255
JESSIKA ZABALA ANNUNZIATA
Nurse Anesthetist, Certified Registered
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 844-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaetjens Joseph's NPI number?

The NPI number for Gaetjens Joseph is 1881450401. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Gaetjens Joseph located?

Gaetjens Joseph practices at 901 45th St, Mangonia Park, FL 33407. The listed phone number is (561) 844-6300.

What is Gaetjens Joseph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gaetjens Joseph was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.