DR. JOSUE JORGE CARABALLO (NPI# 1164488540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164488540 |
| Entity Type | Individual |
| Full Name | DR. JOSUE JORGE CARABALLO |
| Credential | M.D. |
| Practice Address |
480 W Lowder St Macclenny FL 32063-2664 |
| Practice Telephone | 9042596291 |
| Practice Fax Number | 9042594761 |
| Mailing Telephone | 9042596291 |
| Mailing Fax Number | 9042594761 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | ACN275 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 15568 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
480 W LOWDER ST |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446357 | Whitney Ruth Taylor | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063 | 2006-02-17 |
| 1356811962 | Melody Miller Waites | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-27 |
| 1386113892 | Delaney Helms | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-14 |
| 1255688933 | Kelli K Kanemaru-takeuchi | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2012-08-13 |
| 1508140484 | Stephanie Melinda Crawford | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2011-10-10 |
| 1336469832 | Alanna D Eubanks | Dietitian, Registered | 480 W Lowder St, Macclenny, FL 32063-2664 | 2010-06-07 |
| 1245477181 | Rachel Mcmahan Thomas | Registered Nurse | 480 W Lowder St, Macclenny, FL 32063-2664 | 2009-01-14 |
| 1992993281 | Deborah L Griggs | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-10-11 |
| 1104961689 | Mary Robinson | Family Medicine | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-21 |
| 1215078506 | Phillip Wayne Steen | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538355862 | Trung Van Le | General Practice | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JOSUE JORGE CARABALLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.