Provider Demographics
NPI:1447242896
Name:JOFFE, DAVID L (RPH CDE, FACA, CPT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:JOFFE
Suffix:
Gender:M
Credentials:RPH CDE, FACA, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 11TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-1821
Mailing Address - Country:US
Mailing Address - Phone:727-224-4347
Mailing Address - Fax:813-435-2468
Practice Address - Street 1:107 11TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-1821
Practice Address - Country:US
Practice Address - Phone:727-224-4347
Practice Address - Fax:813-435-2468
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS224421835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support