Provider Demographics
NPI:1184993396
Name:GINTER, STEVEN (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:GINTER
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 1:2575 NE HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-8590
Mailing Address - Country:US
Mailing Address - Phone:863-491-1023
Mailing Address - Fax:863-491-4074
Practice Address - Street 1:2575 NE HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8590
Practice Address - Country:US
Practice Address - Phone:863-491-1023
Practice Address - Fax:863-491-4074
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS24851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist