Healthcare Provider Details

I. General information

NPI: 1114613478
Provider Name (Legal Business Name): ASHLEY NICOLE GUZMAN MELERO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7727 LAKE UNDERHILL RD
ORLANDO FL
32822-8224
US

IV. Provider business mailing address

7567 SUN TREE CIR APT 37
ORLANDO FL
32807-6132
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-8110
  • Fax:
Mailing address:
  • Phone: 787-341-5696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS64620
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: