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NPI Code Detail

MEDICARE: DR. MAUDE YVETTE DESIR PHARMD

MEDICARE:  DR. MAUDE YVETTE DESIR  PHARMD
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
1183500000XPharmacistPS49664FL

General Provider Information

NPI Number : 1396188793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAUDE YVETTE DESIR PHARMD
Provider Business Mailing Address
First Line : 2200 PALM BEACH LAKES BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-3402
Country : US
Telephone Number : 561-615-0415
Fax Number : 561-615-0517
Provider Business Practice Location Address
First Line : 2200 PALM BEACH LAKES BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-3402
Country : US
Telephone Number : 561-615-0415
Fax Number : 561-615-0517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 04/13/2014

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