Doctor Name: | DR. JOSEPH JOHN MIGNOGNA |
NPI Number: | 1801927579 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME45072 |
Business Practice Address: | 677 Dave Nisbet Dr Suite 101 Cape Canaveral, FL - 329204528 |
Business Phone Number: | 3218683949 |
Business Fax Number: | 3218685520 |
Mailing Address: | 677 Dave Nisbet Dr, Suite 101 CAPE CANAVERAL |
State: | FL |
Postal Code: | 329204528 |
Phone Number: | 3218683949 |
Fax Number: | 3218685520 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 09/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | ME45072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |