Healthcare Provider Details
I. General information
NPI: 1043208598
Provider Name (Legal Business Name): JOEL ROBERT SAVITCH ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/10/2005
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1065 NE 125TH STREET SUITE 206
NORTH MIAMI FL
33161-5832
US
IV. Provider business mailing address
1700 NW 70TH LN
MARGATE FL
33063-2436
US
V. Phone/Fax
- Phone: 305-891-0050
- Fax: 305-503-7363
- Phone: 954-993-5635
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | ARNP980072 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | ARNP980072 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SA2200X |
| Taxonomy | Adult Health Clinical Nurse Specialist |
| License Number | ARNP980072 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SG0600X |
| Taxonomy | Gerontology Clinical Nurse Specialist |
| License Number | ARNP980072 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: