MEDICARE: DUVALL HAMILTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS44245	FL

General Provider Information

NPI Number	:	1023611001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUVALL HAMILTON

Provider Business Mailing Address
First Line	:	3501 DAVIE BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 DAVIE BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3437
Country	:	US
Telephone Number	:	954-583-9195
Fax Number	:	954-581-8344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	11/20/2020

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Directions to “ DUVALL HAMILTON ” Practice Location

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