Healthcare Provider Details

I. General information

NPI: 1568304582
Provider Name (Legal Business Name): MARIA G DE ABREU PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 DON WICKHAM DR
CLERMONT FL
34711-1979
US

IV. Provider business mailing address

PO BOX 138189
CLERMONT FL
34713-8189
US

V. Phone/Fax

Practice location:
  • Phone: 352-241-7164
  • Fax:
Mailing address:
  • Phone: 508-264-1538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS47313
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: