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NPI Code Detail

MEDICARE: MS. LUISA ALEIDA CANCEL

MEDICARE: MS. LUISA ALEIDA CANCEL
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
1183500000XPharmacistPS28456FL

General Provider Information

NPI Number : 1245500750
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUISA ALEIDA CANCEL
Provider Business Mailing Address
First Line : 1623 HULETT DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-2246
Country : US
Telephone Number : 813-651-5164
Fax Number :
Provider Business Practice Location Address
First Line : 705 N PEBBLE BEACH BLVD
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573-5350
Country : US
Telephone Number : 813-634-8393
Fax Number : 813-642-9066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2012
Last Update Date : 02/03/2012

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Directions to “ MS. LUISA ALEIDA CANCEL ” Practice Location

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