Provider Demographics
NPI:1730459603
Name:KAMEL, MICHAEL S (RPH)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:KAMEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 WILMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-6525
Mailing Address - Country:US
Mailing Address - Phone:305-766-6724
Mailing Address - Fax:
Practice Address - Street 1:950 WILMINGTON DR
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-6525
Practice Address - Country:US
Practice Address - Phone:305-766-6724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS42313OtherSTATE OF FLORIDA BOARD OF PHARMACY