MEDICARE: MS. YEIDEE VANESSA ALMEYDA

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	45862	FL

General Provider Information

NPI Number	:	1053696542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YEIDEE VANESSA ALMEYDA

Provider Business Mailing Address
First Line	:	13826 OSPREY NEST LN APT 10
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13826 OSPREY NEST LANE APT 10
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6136
Country	:	US
Telephone Number	:	787-630-5617
Fax Number	:

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

Provider Enumeration Date	:	10/15/2011
Last Update Date	:	10/15/2011

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