Provider Demographics
NPI:1720288590
Name:HEUVEL, JOSEPH MICHAEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:HEUVEL
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 1:5215 NE 3RD CT
Mailing Address - Street 2:#2
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-2949
Mailing Address - Country:US
Mailing Address - Phone:786-556-2698
Mailing Address - Fax:
Practice Address - Street 1:5215 NE 3RD CT
Practice Address - Street 2:#2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2949
Practice Address - Country:US
Practice Address - Phone:786-556-2698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY35162183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist