Provider Demographics
NPI:1568139590
Name:ATKINS, JOSHUA JAMAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JAMAL
Last Name:ATKINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 CYPRESS GARDENS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-2243
Mailing Address - Country:US
Mailing Address - Phone:863-318-8656
Mailing Address - Fax:
Practice Address - Street 1:5545 CYPRESS GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-2243
Practice Address - Country:US
Practice Address - Phone:863-318-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456018183500000X
IDP9792183500000X
FLPS63229183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist