MEDICARE: JAMES ANDREW DAPELLO

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	PS66275	FL

General Provider Information

NPI Number	:	1841076775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ANDREW DAPELLO

Provider Business Mailing Address
First Line	:	1595 LUDINGTON AVE
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-7612
Country	:	US
Telephone Number	:	941-524-2421
Fax Number	:

Provider Business Practice Location Address
First Line	:	30841 MIRADA BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	FL
Zip	:	33576-7305
Country	:	US
Telephone Number	:	352-588-1199
Fax Number	:

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

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	09/06/2023

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Directions to “ JAMES ANDREW DAPELLO ” Practice Location

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