Joseph John Mignogna, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

ME45072 Issued in FL

Practice address

677 Dave Nisbet Dr
Suite 101
Cape Canaveral, FL 32920-4528

Phone

(321) 868-3949

Fax

(321) 868-5520

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1801927579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 DAVE NISBET DR",
            "address_2": "SUITE 101",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329204528",
            "telephone_number": "321-868-3949",
            "fax_number": "321-868-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 DAVE NISBET DR",
            "address_2": "SUITE 101",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329204528",
            "telephone_number": "321-868-3949",
            "fax_number": "321-868-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNOGNA",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME45072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preventive Medicine/Occupational Environmental Medicine Physician in Cape Canaveral, FL
• Providers in Cape Canaveral, FL by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.