Provider Demographics
NPI:1043208598
Name:SAVITCH, JOEL ROBERT (ARNP)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ROBERT
Last Name:SAVITCH
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 NW 70TH LN
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-2436
Mailing Address - Country:US
Mailing Address - Phone:954-993-5635
Mailing Address - Fax:
Practice Address - Street 1:1065 NE 125TH STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5832
Practice Address - Country:US
Practice Address - Phone:305-891-0050
Practice Address - Fax:305-503-7363
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP980072363LA2200X, 363LG0600X, 364SA2200X, 364SG0600X, 364SP0808X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300813400Medicaid
FLS96841Medicare UPIN
FLY4140ZMedicare ID - Type Unspecified
FLY4140YMedicare ID - Type Unspecified