Healthcare Provider Details

I. General information

NPI: 1922058460
Provider Name (Legal Business Name): JOSEPH ROBERT GEBER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 RAYMOND ST
ORLANDO FL
32803-8208
US

IV. Provider business mailing address

501 HAMPSHIRE LN
OVIEDO FL
32765-7275
US

V. Phone/Fax

Practice location:
  • Phone: 407-599-1547
  • Fax:
Mailing address:
  • Phone: 407-359-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS30451
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11018
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: