Basic Information
Provider Information
NPI: 1043208598
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAVITCH
FirstName: JOEL
MiddleName: ROBERT
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1700 NW 70TH LN
Address2:  
City: MARGATE
State: FL
PostalCode: 330632436
CountryCode: US
TelephoneNumber: 9549935635
FaxNumber:  
Practice Location
Address1: 1065 NE 125TH STREET
Address2: SUITE 206
City: NORTH MIAMI
State: FL
PostalCode: 331615832
CountryCode: US
TelephoneNumber: 3058910050
FaxNumber: 3055037363
Other Information
ProviderEnumerationDate: 10/10/2005
LastUpdateDate: 03/15/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XARNP980072FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LG0600XARNP980072FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
364SA2200XARNP980072FLN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
364SG0600XARNP980072FLN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology

No ID Information.


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