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NPI Code Detail

MEDICARE: DAVID BLESER R.PH.

MEDICARE: DAVID BLESER R.PH.
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
1183500000XPharmacistPS12582FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS12582OTHERFLPHARMACY LICENSE NUMBER

General Provider Information

NPI Number : 1447329586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID BLESER R.PH.
Provider Business Mailing Address
First Line : 861 NE 182ND TER
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-1156
Country : US
Telephone Number : 305-655-2612
Fax Number :
Provider Business Practice Location Address
First Line : 701 LINCOLN RD
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2879
Country : US
Telephone Number : 786-439-1128
Fax Number : 305-673-0975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/08/2007

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