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NPI Code Detail

MEDICARE: MR. VINCENT P. D'AMORE R.PH.

MEDICARE: MR. VINCENT P. D'AMORE 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
1183500000XPharmacistPS0023060FL
2183500000XPharmacist037746NY

General Provider Information

NPI Number : 1861602914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VINCENT P. D'AMORE R.PH.
Provider Business Mailing Address
First Line : 1173 CITRUS OAKS RUN
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4800
Country : US
Telephone Number : 407-375-0820
Fax Number :
Provider Business Practice Location Address
First Line : 8000 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8231
Country : US
Telephone Number : 407-658-1045
Fax Number : 407-382-1627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 09/02/2011

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