Provider Demographics
NPI:1053680595
Name:MILETTA, JOSEPH FRANK (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANK
Last Name:MILETTA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E LINTON BLVD
Mailing Address - Street 2:APT. 400
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5028
Mailing Address - Country:US
Mailing Address - Phone:561-272-2874
Mailing Address - Fax:
Practice Address - Street 1:3200 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3260
Practice Address - Country:US
Practice Address - Phone:561-330-7271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist