Healthcare Provider Details

I. General information

NPI: 1740111905
Provider Name (Legal Business Name): NADIA DIYALJEE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 S ORANGE AVE STE 123
ORLANDO FL
32824-7749
US

IV. Provider business mailing address

2422 CLIFFDALE ST
OCOEE FL
34761-4771
US

V. Phone/Fax

Practice location:
  • Phone: 407-992-8494
  • Fax:
Mailing address:
  • Phone: 407-748-7027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS64607
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: