| Dr Josue Jorge Caraballo, MD | |
|
480 W Lowder St, Macclenny, FL 32063-2664 | |
| (904) 259-6291 | |
| (904) 259-4761 |
| Full Name | Dr Josue Jorge Caraballo |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 480 W Lowder St, Macclenny, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164488540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 15568 (Puerto Rico) | Primary |
| 208D00000X | General Practice | ACN275 (Florida) | Secondary |
| Entity Name | Florida Department Of Children And Families |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548236623 PECOS PAC ID: 3072424282 Enrollment ID: O20080515000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Josue Jorge Caraballo, MD 480 W Lowder St, Macclenny, FL 32063-2664 Ph: (904) 259-6291 | Dr Josue Jorge Caraballo, MD 480 W Lowder St, Macclenny, FL 32063-2664 Ph: (904) 259-6291 |
Dr. Jeremie Joseph Young, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 5970 Copper Dr, Macclenny, FL 32063 Phone: 904-259-3151 | |
Dr. Trung Van Le, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-396-5682 Fax: 904-346-0864 |