Provider Demographics
NPI:1518204296
Name:HEMON, PHILIP JEAN
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:JEAN
Last Name:HEMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12663 TAMIAMI TRL E
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8423
Mailing Address - Country:US
Mailing Address - Phone:239-775-7703
Mailing Address - Fax:
Practice Address - Street 1:12663 TAMIAMITRL E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8423
Practice Address - Country:US
Practice Address - Phone:239-775-7703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 28767183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist