Healthcare Provider Details

I. General information

NPI: 1538094057
Provider Name (Legal Business Name): VALINE NAGEB PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11357 VELVET APRICOT DR
LAND O LAKES FL
34638-6249
US

IV. Provider business mailing address

11357 VELVET APRICOT DR
LAND O LAKES FL
34638-6249
US

V. Phone/Fax

Practice location:
  • Phone: 646-684-5498
  • Fax:
Mailing address:
  • Phone: 646-684-5498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS67911
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: