MEDICARE: JOSEPH TOBIA

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	PSI 26943	FL

General Provider Information

NPI Number	:	1346695970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH TOBIA

Provider Business Mailing Address
First Line	:	510 BUTTONWOOD DR
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4690
Country	:	US
Telephone Number	:	321-266-4394
Fax Number	:

Provider Business Practice Location Address
First Line	:	2448 NORTH US 1 HWY
Second Line	:
City	:	MIMS
State	:	FL
Zip	:	32754
Country	:	US
Telephone Number	:	321-567-4919
Fax Number	:	321-567-5278

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

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	05/02/2016

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Directions to “ JOSEPH TOBIA ” Practice Location

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