Healthcare Provider Details

I. General information

NPI: 1063348563
Provider Name (Legal Business Name): ASHER II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13943 EDEN ISLE BLVD
WINDERMERE FL
34786-7319
US

IV. Provider business mailing address

1391 NW SAINT LUCIE WEST BLVD # 424
PORT ST LUCIE FL
34986-2196
US

V. Phone/Fax

Practice location:
  • Phone: 772-275-7111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: REBECA CRESSY
Title or Position: ORGANIZER
Credential:
Phone: 772-275-7111