| Doctor Name: | DR. JOSEPH IDICULA |
| NPI Number: | 1497758106 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ME59608 |
| Business Practice Address: | 10065 Cortez Blvd Weeki Wachee, FL - 346136389 |
| Business Phone Number: | 3525964660 |
| Business Fax Number: | 3525964674 |
| Mailing Address: | 10065 Cortez Blvd, WEEKI WACHEE |
| State: | FL |
| Postal Code: | 346136389 |
| Phone Number: | 3525964660 |
| Fax Number: | 3525964674 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/17/2006 |
| NPI Reactivation Date: | 03/31/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | ME59608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |