MEDICARE: MR. PAUL VOLEL JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS26086	FL

General Provider Information

NPI Number	:	1285761767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL VOLEL JR.

Provider Business Mailing Address
First Line	:	65 3RD ST NW
Second Line	:	SUITE 59
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4670
Country	:	US
Telephone Number	:	863-401-9300
Fax Number	:	863-401-9330

Provider Business Practice Location Address
First Line	:	65 3RD ST NW
Second Line	:	SUITE 59
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4670
Country	:	US
Telephone Number	:	863-401-9300
Fax Number	:	863-401-9330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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