Doctor Name: | JOSHUA LUIS SARMIENTO |
NPI Number: | 1386086825 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 15833 U.s North Highway 301 Citra, FL - 321133155 |
Business Phone Number: | 3525957100 |
Business Fax Number: | 3525954135 |
Mailing Address: | 15837 U.s North Highway 301, CITRA |
State: | FL |
Postal Code: | 321133155 |
Phone Number: | 4234329221 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2013 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |