Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gaetjens Tardellie Joseph

Individual provider Family Medicine Physician · NPI 1881450401

Gaetjens Tardellie Joseph is a Family Medicine Physician in Mangonia Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

901 45th St
Mangonia Park, FL 33407-2413
Phone: (561) 844-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence . (FL)

Record details

NPI number1881450401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024