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NPI Code Detail

MEDICARE: ZEINA MATAR-GHANTOUS PHARMD

MEDICARE: ZEINA MATAR-GHANTOUS PHARMD
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
1183500000XPharmacist27687FL

General Provider Information

NPI Number : 1386396661
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZEINA MATAR-GHANTOUS PHARMD
Provider Business Mailing Address
First Line : 3950 N DEAN RD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-5144
Country : US
Telephone Number : 407-681-6366
Fax Number : 407-681-6359
Provider Business Practice Location Address
First Line : 3950 N DEAN RD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-5144
Country : US
Telephone Number : 407-681-6366
Fax Number : 407-681-6359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2022
Last Update Date : 01/19/2022

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Directions to “ ZEINA MATAR-GHANTOUS PHARMD” Practice Location

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