Healthcare Provider Details

I. General information

NPI: 1598601023
Provider Name (Legal Business Name): ANNE RAFIDI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 CHANCELLOR DR
ORLANDO FL
32809-7657
US

IV. Provider business mailing address

13538 FOX GLOVE ST
WINTER GARDEN FL
34787-4711
US

V. Phone/Fax

Practice location:
  • Phone: 352-231-2979
  • Fax: 904-910-4949
Mailing address:
  • Phone: 904-910-4949
  • Fax: 904-910-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS40157
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: