MEDICARE: MR. JOSEPH MICHAEL HEUVEL RPH

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	35162	NY

General Provider Information

NPI Number	:	1720288590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH MICHAEL HEUVEL RPH

Provider Business Mailing Address
First Line	:	5215 NE 3RD CT
Second Line	:	#2
City	:	MIAMI
State	:	FL
Zip	:	33137-2949
Country	:	US
Telephone Number	:	786-556-2698
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 NE 3RD CT
Second Line	:	#2
City	:	MIAMI
State	:	FL
Zip	:	33137-2949
Country	:	US
Telephone Number	:	786-556-2698
Fax Number	:

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

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/20/2007

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