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NPI Code Detail

MEDICARE: MRS. LINDA MARIA MENDES RPH

MEDICARE: MRS. LINDA MARIA MENDES RPH
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
1183500000XPharmacistPS55789FL
2183500000XPharmacistPH24736MA

General Provider Information

NPI Number : 1255975009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA MARIA MENDES RPH
Provider Business Mailing Address
First Line : 345 ADMIRALTY CT # 1
Second Line :
City : EDGEWATER
State : FL
Zip : 32141-7920
Country : US
Telephone Number : 508-212-7995
Fax Number :
Provider Business Practice Location Address
First Line : 3250 VINELAND RD # 1
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-4893
Country : US
Telephone Number : 407-397-1202
Fax Number : 407-397-1230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 11/05/2019

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