Healthcare Provider Details

I. General information

NPI: 1407620230
Provider Name (Legal Business Name): THE NEMOURS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6535 NEMOURS PKWY
ORLANDO FL
32827-7884
US

IV. Provider business mailing address

6535 NEMOURS PKWY
ORLANDO FL
32827-7884
US

V. Phone/Fax

Practice location:
  • Phone: 407-567-4799
  • Fax:
Mailing address:
  • Phone: 407-567-4799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SYLINDA FULSE
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential:
Phone: 407-567-3256