Provider Demographics
NPI:1285761767
Name:VOLEL, PAUL JR
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:VOLEL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 3RD ST NW
Mailing Address - Street 2:SUITE 59
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4670
Mailing Address - Country:US
Mailing Address - Phone:863-401-9300
Mailing Address - Fax:863-401-9330
Practice Address - Street 1:65 3RD ST NW
Practice Address - Street 2:SUITE 59
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4670
Practice Address - Country:US
Practice Address - Phone:863-401-9300
Practice Address - Fax:863-401-9330
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS26086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist