Provider Demographics
NPI:1902188519
Name:HEGEDUS, JOSEPH ANTHONY (RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:HEGEDUS
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 1:920 S KIRKMAN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2203
Mailing Address - Country:US
Mailing Address - Phone:407-253-6288
Mailing Address - Fax:407-253-6292
Practice Address - Street 1:920 S KIRKMAN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2203
Practice Address - Country:US
Practice Address - Phone:407-253-6288
Practice Address - Fax:407-253-6292
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist