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NPI Code Detail

MEDICARE: JAYSHRI N DESAI PHARM D

MEDICARE: JAYSHRI N DESAI PHARM D
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
1183500000XPharmacistPS34874FL

General Provider Information

NPI Number : 1326319849
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYSHRI N DESAI PHARM D
Provider Business Mailing Address
First Line : 720 BROADOAK LOOP
Second Line :
City : SANFORD
State : FL
Zip : 32771-7184
Country : US
Telephone Number : 407-322-8660
Fax Number :
Provider Business Practice Location Address
First Line : 1700 N NORMANDY BLVD
Second Line :
City : DELTONA
State : FL
Zip : 32725-4504
Country : US
Telephone Number : 386-532-4048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 01/13/2012

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Directions to “ JAYSHRI N DESAI PHARM D” Practice Location

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