MEDICARE: HALENA SAUTMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PSI	FL

General Provider Information

NPI Number	:	1043511157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALENA SAUTMAN

Provider Business Mailing Address
First Line	:	600 S DIXIE HWY APT 441
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5833
Country	:	US
Telephone Number	:	954-288-8298
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 S DIXIE HWY APT 441
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5833
Country	:	US
Telephone Number	:	954-288-8298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	11/04/2010

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Directions to “ HALENA SAUTMAN ” Practice Location

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