Healthcare Provider Details

I. General information

NPI: 1245161710
Provider Name (Legal Business Name): DR. NOAH JOSEPH WHEELER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S APOPKA AVE
INVERNESS FL
34452-4837
US

IV. Provider business mailing address

3705 E DIAMOND CIR
HERNANDO FL
34442-7903
US

V. Phone/Fax

Practice location:
  • Phone: 352-344-8040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70529
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: