Provider Demographics
NPI:1548246366
Name:COVELLI, JOSEPH LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LOUIS
Last Name:COVELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:331 N MAITLAND AVE
Mailing Address - Street 2:STE C 1
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4749
Mailing Address - Country:US
Mailing Address - Phone:407-644-2218
Mailing Address - Fax:407-644-9260
Practice Address - Street 1:331 N MAITLAND AVE
Practice Address - Street 2:STE C 1
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4749
Practice Address - Country:US
Practice Address - Phone:407-644-2218
Practice Address - Fax:407-644-9260
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0022065207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037894100Medicaid
FL110040480OtherRAILROAD MEDICARE
FL110040480OtherRAILROAD MEDICARE
FL037894100Medicaid